SPD项目的全流程信息化精细化方案在医用耗材管理中的有效性研究

Study on the Effectiveness of the Whole Process Information Refinement Scheme of SPD Project in Hospital Consumables Management

目的 探讨供应-加工-配送(Supply-Processing-Distribution,SPD)项目的全流程信息化精细化方案在南京市第一医院医用耗材管理中的有效性。方法 通过分析医院医用耗材管理现状,建立标准分类编码以及以医疗器械唯一标识为核心的基础数据库,采用SPD模式、引入第三方供应链信息管理平台、射频识别技术及智能货柜系统、医院信息系统医嘱扫码计费等配套技术对医用耗材进行全流程信息化精细化管理。比较管理前(2020年)与管理后(2022年)百元耗材占比、高值耗材占比、医用耗材合理使用率,以及工作人员每周申请、领取、盘库、计费医用耗材时所耗时间、每周库存占用资金数据,以及条形码漏贴、粘贴错误例数和计费错误例数。结果 管理后百元耗材占比、高值耗材占比显著低于管理前,而医用耗材使用合格率高于管理前(均P<0.05)。管理后护理人员每周申请、领取、盘库、计费医用耗材的时间均低于管理前(P<0.05)。管理后可收费耗材每周库存金额显著低于管理前(P<0.05)。管理后医用耗材条形码漏贴率、误贴率显著低于管理前,医用耗材收费名称错误率、遗漏计费率显著低于管理前(均P<0.05)。结论 SPD项目的全流程信息化精细化方案可有效控制医院医用耗材占比,提高医用耗材的合理使用率,以及提高医护人员工作效率,具有良好的临床运用效果。

Objective To explore the effectiveness of the whole process information refinement scheme of the supply-process-distribution(SPD)project in the hospital consumables management of Nanjing First Hospital.Methods Based on the analysis of the management status of hospital medical consumables,standard classification coding and unique device identification-centered basic database were established,and SPD mode was adopted,third-party supply chain information management platform was introduced,radio frequency identification technology,intelligent container system,hospital information system medical order scanning code billing and other supporting technologies were adopted to carry out the whole process information and fine management of hospital medical consumables.Before(2020)and after(2022)management,the proportion of 100-yuan consumables,the proportion of high-value consumables,and the reasonable utilization rate of medical consumables were compared,as well as the time spent by staff in weekly application,receipt,inventory and billing of medical consumables,the capital occupied by weekly inventory data,as well as the number of bar code missing paste,pasting errors and billing errors.Results The percentage of 100-yuan consumables and value consumables after management was significantly lower than that before management,while the qualified rate of medical consumables was higher than that before management(all P<0.05).After management,the weekly time of medical consumables application,receiving,inventory storage and billing of nursing staff was lower than that before management(all P<0.05).The weekly inventory amount of chargeable consumables after management was significantly lower than that before management(P<0.05).After management,the omission rate and error rate of barcode of medical consumables were significantly lower than that before management,and the error rate and omission rate of charge name of medical consumables were significantly lower than that before management(all P<0.05).Conclusion The information refinement scheme of the SPD project can effectively control the proportion of medical consumables in hospitals,improve the reasonable utilization rate of medical consumables,and improve the work efficiency of medical staff,and has good clinical application effect.