基于信息化的低值计价耗材精益管理方案的构建与应用  

Construction and Application of Lean Management Scheme for Low-Value Pricing Consumables Based on Informatization

作　　者：李燕 杜娟 曾兴玲 汪蓉 蒋虹 曾静 LI Yan;DU Juan;ZENG Xingling;WANG Rong;JIANG Hong;ZENG Jing(Department of Nursing,The Second Affiliated Hospital of Chengdu Medical College,Nuclear Industry 416 Hospital,Chengdu Sichuan 610051,China;Operating Room,The Second Affiliated Hospital of Chengdu Medical College,Nuclear Industry 416 Hospital,Chengdu Sichuan 610051,China;Department of Pediatrics,The Second Affiliated Hospital of Chengdu Medical College,Nuclear Industry 416 Hospital,Chengdu Sichuan 610051,China;Hospital Office,The Second Affiliated Hospital of Chengdu Medical College,Nuclear Industry 416 Hospital,Chengdu Sichuan 610051,China)

机构地区：[1]成都医学院第二附属医院·核工业四一六医院护理部,四川成都610051 [2]成都医学院第二附属医院·核工业四一六医院手术室,四川成都610051 [3]成都医学院第二附属医院·核工业四一六医院儿科,四川成都610051 [4]成都医学院第二附属医院·核工业四一六医院医院办公室,四川成都610051

出　　处：《中国医疗设备》2024年第12期97-102,共6页China Medical Devices

基　　金：成都医学院医院发展研究中心专项项目(YYFZ22004)。

摘　　要：目的以儿科静脉留置针管理为试点,构建一套基于信息化的低值计价耗材精益管理方案,以提升耗材管理效率。方法以精益管理问题解决方法为基础,通过柏拉图明确影响留置针管理效率低的主要原因,在临床调研基础上构建基于信息化的精益管理方案,从二级库建立、数量管理工具研发、记账功能优化3个方面入手,对管理流程进行改进。以精益管理实施为时间节点,对实施前后留置针日常管理时间、记账准确率、护理人员满意度进行对比,验证精益管理方案的实施效果。结果基于信息化的精益管理方案实施后,留置针日常管理时间从(44.40±4.73)min下降至(6.43±2.97)min,记账准确率从84.53%提高至99.05%,护理人员满意度也有所提高,差异均有统计学意义(P<0.05)。结论本研究构建的基于信息化的精益管理方案可切实提高留置针管理效率,未来可在各类耗材管理上加以推广并持续优化。Objective To construct a set of lean management scheme for low-value pricing consumables based on informatization,taking the management of pediatric intravenous indwelling needle as the pilot,so as to improve the efficiency of consumables management.Methods Based on the method of lean management problem-solution,the main reasons affecting the low efficiency of indwelling needle management was clarified through Plato.A lean management scheme based on informatization on the basis of clinical investigation was constructed,and the management process was improved from three aspects:establishment of secondary library,research and development of quantity management tools and optimization of bookkeeping functions.Taking the implementation of lean management as the time node,the daily management time,accounting accuracy rate and nursing staff satisfaction were compared before and after the implementation to verify the implementation effect of lean management scheme.Results After the implementation of the lean management scheme based on informatization,the daily management time of indwelling needles decreased from(44.40±4.73)min to(6.43±2.97)min,the accounting accuracy rate increased from 84.53%to 99.05%,and the satisfaction of nursing staff also increased,with all statistical significance(P<0.05).Conclusion The lean management scheme based on informatization constructed in this study can effectively improve the management efficiency of indwelling needles.This approach can be promoted and continuously optimized in the management of various consumables in the future.

关 键 词：信息化 低值计价耗材 精益管理 流程优化 留置针 二级库 

分 类 号：R197.3[医药卫生—卫生事业管理]