肿瘤专科医院医用耗材二级库房精细化管理实践探索

Lean Management of Medical Consumable Secondary Storeroom in a Cancer Hospital

[目的]分享肿瘤专科医院医用耗材二级库房精细化管理思路,为提高肿瘤专科医院二级库管理成效提供参考依据。[方法]以中山大学肿瘤防治中心的管理实践为基础,对比改善前(2017年)、改善后(2018年)及效果维持阶段(2019年)的盘点和库存周转情况。[结果]实施系列精细化管理措施后,改善后盘点率、盘盈/盘亏发生率、盘盈/盘亏金额占比明显优化(P<0.05),效果维持阶段盘点率和盘点合格率显著提高(P<0.01),盘盈/盘亏金额占比、盘亏发生率下降(P<0.05);各二级库在工作量逐年明显增长的背景下,改善后平均库存周转次数和平均周转天数实现了大幅改善(P<0.01),效果维持阶段库存管理成果维持较好(P>0.05)。[结论]实施医用耗材二级库房精细化管理,可有效推动肿瘤专科医院医用耗材的规范使用,提升库存周转速度,节约医院成本开支,保障医疗质量安全。

[Purpose]To share the experiences of lean management strategy of medical consumable secondary storeroom of a cancer hospital.[Methods]Based on the practice of Sun Yat-sen University Cancer Center,the inventory and turnover situation before improvement(2017),after improvement period(2018)as well as in effect maintenance period(2019)were compared.[Results]After the implementation of improvement measures,the inventory rate,inventory profit/loss rate,inventory were significantly improved(P<0.05).The inventory rate,inventory qualified rate greatly increased(P<0.01),the inventory profit/loss proportion,inventory loss rate were significantly improved in 2019(P<0.05).In the context of the significant increase of workload,the average inventory turnover times and average turnover days of 50 secondary storeroom in 2018 were significantly improved(P<0.01),and the inventory management effect in effect maintenance period remained well(P<0.05).[Conclusion]The implementation of lean management can effectively promote the standardized use of medical consumable,accelerate the inventory turnover speed,save management costs,and guarantee medical quality and safety.