精益管理在手术室医用耗材规范化管理中的应用分析

Application of lean management in the operating room medical consumables standardization management

目的:探讨精益管理措施在医院手术室医用耗材管理中的应用效果,为高效率利用医疗资源、规范医疗耗材使用提供指导建议。方法:通过对比分析2013年(传统管理模式)与2014年(精益管理模式)医院手术室医用耗材的使用、存储以及医生对供应品的满意度等指标,对精益管理模式下医用耗材管理效果进行评价。结果:2014年医院手术室医用耗材的库存量种类(665±47)种、规格种类(1033±112)种、库存资金总额(35.14±1.97)元以及库存面积(602.5±28.9)m2均显著低于2013年且差异均具有统计学意义(t=19.701,t=10.605,t=14.214,t=12.714;P<0.05);2014年医院手术医师对耗材的满意率为96.23%,显著高于2013年的82.98%,且差异具有统计学意义(x^2=4.857,P<0.05);2014年医院手术医用耗材漏收费较2013年下降了92.86%,发票与物品不对应的发生率较2013年下降了100%。结论:精益管理措施在医院手术室医用耗材管理中的应用,有利于加强资金流通,规范管理以及提高效率。

Objective： Discussion on application effect of lean management practices in a hospital operating room medical supplies management. Methods： By comparison in 2013（the traditional management model） and 2014（lean management mode） of medical supplies hospital operating room use, storage, physician satisfaction of supplies and other indicators, the effect of medical supplies management lean management mocle evaluation. Results： The 2014 hospital operating room medical supplies inventory types species, size species, total stock capital yuan, inventory area m2 were significantly lower and the differences were statistically significant（t= 19.701, t=10.605, t=14.214, t=12.714; P〈0.05） in 2015; significantly higher than in 2013（82.98%） and the difference in 2014 for supplies of hospital surgeon satisfaction rate （96.25%） were statistically significant（x2=4.857, P〈0.05）; 2014 hospital surgical medical supplies leak charges fell compared with 92.86% in 2015, invoices and goods do not correspond to decrease the incidence of 100% compared with 2015. Conclusion： Lean management practices in hospital operating room medical supplies will help strengthen the management of capital flows, standardize their management and improve efficiency.