第三方物流在临床护理中的应用

Application of third-party logistics in clinical nursing

目的探讨第三方物流在临床护理中的应用效果。方法医院引进第三方物流公司为临床护理提供物流服务，将非直接性为患者服务的工作全部交由非专业人员完成。服务内容包括：取送各类标本、血制品、各类药品及会诊单。结果应用第三方物流后，明确了护士、护工及保洁工的职责，管理更加规范；医护人员对物流护工的满意率由以前的91%提高到99%,差异具有统计学意义（U=5.08，P＜0.01）。标本、药品及会诊单送达的时间，由以前的（8.30±0.88）,（20.00±2.00）,（7.20±0.32）min缩短为（5.30±0.48）,（13.00±1.41）,（4.10±0.21）min，差异具有统计学意义（t值分别为6.69,6.39,18.09；P＜0.01）。结论医院引进第三方物流，不仅把护士的时间还给了患者，而且在保证了各种运输的及时性和准确性基础上，同时为医院节省了大量人力成本，提高了经济效益，值得推广。

Objective To investigate the effect of third-party logistics applied on clinical nursing. Methods Third-party logistics was introduced in the hospital and provided indirect service such as collecting and delivering patients＇ test samples, blood products, medicine and consultation notices by non-medical professionals. Results On the introduction of third-party logistics, hospital administration became more standardized, and explicitly defined responsibilities of nurses, medical orderlies and cleaners, doctors＇ and nurses＇ satisfaction on the medical orderlies was increased from 91% to 99%, and the differences were statistically significant （ U = 5.08, P 〈 0.01 ）. The server time needed for collecting test samples, medicine, consultation sheet were significantly shorter than that of before [ （ 5.30 ± 0.48 ） rain vs （ 8.30 ± 0.88 ） min, （13.00 ± 1.41）min vs （20.00 ±2.00）min, （4.10 ±0.21）min vs （7.20 ±0.32）min;t =6.69,6.39,18.09, respeetively;P 〈 0.01 ]. Conclusions The widespread introduction of third-party logistics is worthwhile for the hospital,which makes nurses more focusing on the direct patients＇ care, saves much cost for the hospital in terms of human resources, and it better ensures the timeliness and accuracy of logistics.