基于UDI的高值医用耗材全流程智能管理实践

Practice of Whole-Process Intelligent Management of High-Value Medical Consumables Based on UDI

目的 使用医疗器械唯一标识(Unique Device Identification,UDI)实现对医用耗材全流程智能管理,保障医用耗材的质量安全,提高医用耗材的管理效能。方法 依托国家UDI系统建设,通过软件功能设计和管理优化,建立基于UDI的医用耗材智能管理方案,利用UDI打通医用耗材从生产、流通、使用的全流程管理,实现UDI在医用耗材全流程管理过程中的一码贯通、全程扫码、精准追溯的智能管理模式。选取分析我院实施基于UDI的智能管理模式前后高值医用耗材的使用资料,验证UDI智能管理的实施成效。结果 与传统管理模式相比,实施基于UDI的智能管理模式后,高值医用耗材的字典管理时间从(12.07±1.90)min缩减至(4.15±0.35)min,验收管理时间从(29.10±6.47)min缩减至(8.14±0.92)min,计费登记管理时间从(10.50±1.22)min缩减至(1.00±0.07)min,闭环追溯管理时间从(31.31±5.07)min缩减至(5.02±0.82)min,差异均有统计学意义(P<0.05),且保障了医用耗材的验收质量安全,提升医疗质量安全。结论 基于UDI的医用耗材全流程智能管理模式的实践和应用,可以进一步提升医用耗材的精准化管理水平,也为医疗机构UDI的应用提供参考和借鉴。

Objective To use unique device identification(UDI)to realize the intelligent management of the whole-process of medical consumables,ensure the quality and safety of medical consumables,and improve the management efficiency of medical consumables.Methods Based on the construction of the national UDI system,through software function design and management optimization,an intelligent management scheme for medical consumables based on UDI was established,and UDI was used to open up the whole-process management of medical consumables from production,circulation and use,so as to realize the intelligent management mode of UDI in the whole-process management of medical consumables through one code,the whole-process scanning code and accurate tracing.The use data of high-value medical consumables before and after implementing the intelligent management mode based on UDI in our hospital were selected and analyzed to verify the implementation effect of UDI intelligent management.Results Compared with the traditional management mode,after the implementation of UDI-based intelligent management mode,the dictionary management time of high-value medical consumables was reduced from(12.07±1.90)min to(4.15±0.35)min,and the acceptance management time was reduced from(29.10±6.47)min to(8.14±0.92)min.Billing registration management time was reduced from(10.50±1.22)min to(1.00±0.07)min,closed-loop traceability management time was reduced from(31.31±5.07)min to(5.02±0.82)min,the differences were statistically significant(P<0.05).The acceptance quality and safety of medical consumables were guaranteed,and medical quality and safety was improved.Conclusion The practice and implementation of the whole-process intelligent management mode of medical consumables based on UDI can further improve the precision management level of medical consumables,and also provide reference for the application of UDI in medical institutions.