基于信息化平台的高值耗材全过程管理模式

Whole-process management of high-value consumables based on information platform

目的探索高值耗材管理新方法,以解决高值耗材管理模式存在的需求无计划、验收无标准、流程无监管、数据少记录的问题。方法以物资管理系统为基础信息平台,建立基于信息化平台的高值耗材全过程管理模式。然后对比东部战区总医院144个科室二级库在实施管理新模式前后的耗材过期率、紧急采购计划率、账物相符率、耗材追溯率和科室满意度。结果基于信息化平台的高值耗材全过程管理模式实现了高值耗材的全流程数据追踪,完成高值耗材“科室需求—采购—配送—验收入库—科室二级库管理—使用—结算”的全过程监管。该方法实施一年后,耗材过期率由0.85%降至0,紧急采购计划率由45.78%降至1.24%,账物相符率由78.71%升至98.46%。该方法实施前,仅5个科室二级库做到耗材数据记录详实,高值耗材数据可追溯,占全院总科室3.4%。该方法实施后耗材数据追溯率达100%。该方法实施前,科室对高值耗材管理的满意度为57.81%,该方法实施初,满意度降为24.22%,一年后回升至89.76%。结论应用基于信息化平台的全过程管理方法后,高值耗材过期、缺货、错收费、账务不相符、流程不可追溯等情况得到显著改善。

Objective To explore new management mode of high-value consumables,and to solve the problems of unplanned demand,non-standard acceptance,unregulated processes,and insufficient data recording in the management mode of high-value consumables.Methods Based on the material management system as the basic information platform,we established the whole-process management mode of high-value consumables based on the information platform.Then we compared the expiration rate of consumables,emergency procurement plan rate,record-consumables conformity,traceability rate of consumables,and department satisfaction of 144 departments in the secondary warehouse of the General Hospital of Eastern Theater Command before and after implementing the new management mode.Results The whole-process management mode of high-value consumables based on information platform realized the whole process data tracking of high-value consumables,and completed the whole process supervision of high-value consumables,including department demand,procurement,delivery,acceptance and storage,secondary library management,employment,and settlement.With a one-year employment,the expiry rate of consumables dropped from 0.85%to 0,the emergency procurement plan dove from 45.78%to 1.24%,and the record-consumables conformity ascended from 78.71%to 98.46%.Previously,only 5 departments had detailed traceable data of high-value consumables,accounting for a mere 3.4%of the hospital departments.The traceability rate reached 100%in the new approach.Before the implementation of this method,the department’s satisfaction rate with the management of high-value consumables was 57.81%.At the beginning of the implementation,the satisfaction rate decreased to 24.22%which rebounding to 89.76%one year later.Conclusions After applying the whole-process management mode based on the information platform,the problems including the misuse of non-tendered consumables,consumables shortages and expiry,record-consumables nonconformity,and non-traceability the relevant data have been significantly improved.