智能化管理系统在介入手术室高值耗材管理中的建设与应用

Construction and application of intelligent management system in the management of high-value consumables in Interventional Operating Room

目的建设智能化管理系统,并探讨其在介入手术室高值耗材管理中的应用情况。方法浙江省宁波市第一医院介入中心于2019年10月将供应链服务(SPD)结合智能化管理系统应用于高值耗材管理。选择2018年10月—2019年9月使用传统信息化管理模式下的高值耗材资料作为对照组,选择2019年10月—2020年9月采用SPD结合智能化管理体系的高值耗材资料作为观察组。比较不同管理模式下的高值耗材系统与库存符合率、日均检查时间、日均请领耗时、耗材供应及时率、未使用耗材归位率、护士满意度。结果观察组和对照组的高值耗材系统内库存与实际库存符合率分别为98.26%(226/230)、85.22%(196/230);观察组的日均检查时间[(67.44±1.42)min]少于对照组[(108.00±2.51)min],日均请领耗时[(53.41±5.24)min]少于对照组[(118.22±4.68)min];观察组和对照组的耗材供应不及时和未使用耗材未归原位总发生率分别为3.46%(138/3986)和20.86%(881/4224);观察组和对照组的护士满意度分别为93.75%(135/144)、63.89%(92/144);两组比较差异均有统计学意义(P<0.05)。结论智能化耗材管理系统的建设与应用可有效提高介入手术室高值耗材管理的规范化、精细化水平,降低科室运行成本。

Objective To establish an intelligent management system and explore its application in the management of high-value consumables in Interventional Operating Room.Methods Supply and processing and distribution(SPD)combined with the intelligent management system was applied in the Intervention Center at Ningbo First Hospital of Zhejiang Province in October 2019.High-value consumables managed with traditional information management between October 2018 and September 2019 were included into the control group,while those managed with SPD combined with the intelligent management system from October 2019 to September 2020 were included into the observation group.The high-value consumable system and inventory compliance rate,average daily inspection time,average daily claim time,timely supply of consumables,return rate of unused consumables,and nurse satisfaction under the two different management modes were compared.Results The coincidence rates of the high-value consumable system inventory and actual inventory in the observation group and the control group were 98.26%(226/230)and 85.21%(196/230),respectively;the average daily inspection time,(67.44±1.42)min in the observation group was less than(108.00±2.51)min in the control group,and the average daily claim time,(53.41±5.24)min was less than(118.22±4.68)min in the control group;the total rate of untimely supply of consumables and unreturned unused consumables in the observation and control groups were 3.46%(138/3986)and 20.86%(881/4224),respectively;and the satisfaction of nurses in the two groups were 93.75%(135/144)and 63.89%(92/144).The differences between the two groups were all statistically significant(P<0.05).Conclusions The construction and application of the intelligent consumable management system can effectively improve the standardization and refinement of the management of high-value consumables in the Interventional Operating Room,and reduce the operating cost of the department.