基于精益管理理念的床位资源调配管理模式构建与实施  

Construction and implementation of a bed resource allocation management model based on lean management principles

作　　者：胡聃[1] 金咏梅[1] 李双双 倪涵晨 徐伶俐 金珠[1] 禹宝庆 HU Dan;JIN Yongmei;LI Shuangshuang;NI Hanchen;XU Lingli;JIN Zhu;YU Baoqing(Seventh People′s Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China)

机构地区：[1]上海中医药大学附属第七人民医院,上海200137

出　　处：《现代医院》2024年第10期1557-1559,共3页Modern Hospitals

基　　金：深化医改中医药政策研究自选课题(YGZXKT2024084);浦东新区卫生健康委员会学科建设项目(PWZxk2022-06)。

摘　　要：目的构建合理高效的床位资源调配管理模式,减少患者院前等待时间,保障患者安全,提升满意度。方法基于精益管理理念构建并不断优化床位资源调配管理模式。比较在精益化床位资源调配模式开展前后的床位周转次数、床位效率指数;手术患者术前等待时间、平均住院日;患者满意度、焦虑发生率的变化情况,评价该模式的实施效果。结果实施精益化床位资源调配模式之后,床位工作效率指数提升14.29%,床位周转次数提升3.34%;手术患者术前平均等待时间缩短100%,平均住院天数降低87.71%;患者满意度提升2.4%,焦虑发生率下降28.1%。结论开展精益化床位资源调配模式,可以提升医院床位效率,缩短手术患者的术前等待时间和平均住院日,提升患者满意度。Objective To construct a rational and efficient bed resource allocation management model to reduce pre-hospital waiting times,ensure patient safety,and improve satisfaction.Methods Based on lean management principles,a bed resource allocation management model was developed and continuously optimized.The study compared bed turnover rates and efficiency indices,as well as preoperative waiting times for surgical patients,average length of stay,patient satisfaction,and anxiety incidence before and after the implementation of the lean model to evaluate its effectiveness.Results After implementing the lean bed resource allocation model,the bed efficiency index increased by 14.29%,and bed turnover rates improved by 3.34%.The average preoperative waiting time for surgical patients decreased by 100%,and the average length of stay reduced by 87.71%.Patient satisfaction increased by 2.4%,while anxiety incidence dropped by 28.1%.Conclusion The implementation of a lean bed resource allocation model can enhance hospital bed efficiency,shorten preoperative waiting times for surgical patients,reduce average length of stay,and improve patient satisfaction.

关 键 词：精益管理 床位资源调配 出入院准备中心 模式构建 

分 类 号：R197.32[医药卫生—卫生事业管理]