基于ECRS优化原则实现全院床位智能化统一管理  

Achieving unified intelligent hospital bed management based on ECRS optimization principles

作　　者：张燕[1] 石宜径 李天烨 周碧琴 聂广孟 ZHANG Yan;SHI Yijing;LI Tianye;ZHOU Biqin;NIE Guangmeng(Beijing Tsinghua Changgung Hospital,Tsinghua University,Beijing,102218,PRC)

机构地区：[1]清华大学附属北京清华长庚医院,北京市102218

出　　处：《中国医院》2025年第1期89-92,共4页Chinese Hospitals

基　　金：北京市医院管理中心青年人才培养“青苗”计划(QML20210904)。

摘　　要：床位是医疗机构的重要基础设施。在分级诊疗模式下,三级医院住院服务压力较大,尤其在异地医保实时结算政策推出以后,北京三级医院床位资源更加紧张。为使有限的床位资源得到最大化利用,本研究针对床位分配工作流程复杂、工作效率低下、工作质量难以保证等问题,基于ECRS优化原则重塑签床作业流程。在全院床位统一管理的前提背景下,通过开发智能签床模型和智能语音通知工具,将智能化服务融入住院床位管理的各项流程,实现全院床位智能化统一管理。这一举措不仅有效提高了工作效率,同时也提高了医疗服务质量和床位使用效率。Hospital beds are a critical infrastructure for medical institutions.Under the hierarchical medical system,tertiary hospitals face significant inpatient service pressure,particularly following the implementation of real-time off-site medical insurance settlement policies,which have intensified bed shortages in Beijing's tertiary hospitals.This study addresses issues such as the complexity of bed allocation workflows,low operational efficiency,and challenges in ensuring work quality.By leveraging ECRS(Eliminate,Combine,Rearrange,Simplify)optimization principles,the bed allocation workflow was reengineered.Based on the unified hospital-wide bed management framework,an intelligent bed allocation model and smart voice notification tool were developed,integrating intelligent services into all aspects of bed management.This initiative significantly improved operational efficiency,enhanced the quality of medical services,and optimized bed utilization.

关 键 词：ECRS 流程再造 智能签床 全院一张床 床位管理 

分 类 号：R197[医药卫生—卫生事业管理]