基于SPD模式的PIVAS医用耗材全流程精细化管理实践

Fine Management Practice of PIVAS Medical Consumables Throughout the Whole Process Based on SPD Mode

目的 探究基于供应-加工-配送(Supply-Processing-Distribution,SPD)管理模式的静脉用药集中调配中心(Pharmacy Intravenous Admixture Services,PIVAS)在医用耗材管理中的应用效果。方法 引进SPD管理模式对传统管理模式进行优化,并应用于PIVAS医用耗材管理,回顾性分析河北省中医院PIVAS在传统管理模式下(2023年1—4月)和SPD管理模式下(2023年5—8月)的医用耗材管理情况,对SPD管理模式与传统管理模式的请领补货时长、盘点时长、账物相符率、库存周转率、管理不良事件发生率及医护人员满意度进行对比。结果 与传统模式相比,SPD管理模式下,请领补货时长由(51.25±6.29)min降低至(3.00±1.15)min,盘点时长由(62.50±9.57)min降低至(36.25±7.50)min,差异均有统计学意义(P<0.05);账物相符率由73.75%±4.79%提升至97.00%±1.15%,库存周转率由80.00%±4.08%提升至92.57%±2.22%,差异均有统计学意义(P<0.05);与传统模式相比,SPD模式组的品规不符、过期失效、积压滞留、缺货等不良事件发生率降低了88.23%,且医护人员对SPD管理模式满意度更高。结论 SPD管理模式在PIVAS耗材管理中应用良好,提高了工作效率和医务工作人员满意度,降低了管理不良事件的发生率,通过信息化手段实现了耗材的精细化管理。

Objective To explore the application effects of medical consumables management in pharmacy intravenous admixture services(PIVAS)based on the supply-processing-distribution(SPD)management mode.Methods The SPD management mode was introduced to optimize the traditional management mode and applied to the management of medical consumables in PIVAS.A retrospective analysis was conducted on the management of medical consumables of PIVAS at Hebei Provincial Hospital of Traditional Chinese Medicine in both the traditional management mode(from January to April 2023)and the SPD management mode(from May to August 2023).A comparative observation was made on requisition replenishment time,inventory time,accuracy of accounts,inventory turnover rate,incidence of adverse events and satisfaction of medical staff between the SPD management mode and the traditional management mode.Results Under the SPD management mode,the requisition replenishment time decreased from(51.25±6.29)min to(3.00±1.15)min,and the inventory time decreased from(62.50±9.57)min to(36.25±7.50)min,with both differences being statistically significant(P<0.05);the accuracy of accounts increased from 73.75%±4.79%to 97.00%±1.15%,and the inventory turnover rate increased from 80.00%±4.08%to 92.57%±2.22%,with both differences being statistically significant(P<0.05);compared to the traditional mode,the incidence of adverse events such as quality inconsistency,expiration,backlog,stock shortage in the SPD mode group decreased by 88.23%,and medical staff showed higher satisfaction with the SPD management mode.Conclusion The SPD management mode is well applied in PIVAS consumables management,which improves work efficiency and medical staff satisfaction,reduces the incidence of management adverse events,and realizes fine management of consumables by means of information technology.