减少一次性医用耗材系统性浪费的研究

摘要

Objective:Study the current situation of the management link in extension, apply, usage, charge etc of the disposable medical supplies, find out the problems and loopholes in waste system, through the improvement of organizational behavior, targeted to solve the extensive management problems of disposable medical supplies in hospital, reduce waste, improve the level of lean management and provide the starting point for supervising of overuse. Methods:Using the method of fishbone diagram, evidence-based management etc, find out the main problem, reference the idea of lean management, raise the optimal management plan. Results:Not forming the closed loop management of the data in the application of disposable medical supplies from clinical, the second level warehouse management of clinical, the diagnosis and treatment of medical staff, the billing of patients, the leak of flow and flow direction management, existing problems and loopholes in waste and overusage supervise, optimize the current process and method redevelop of the information management software system, realizing the closed loop management. Conclusion:The design of information management software based on clinical pathway management and the optimization of management process and method which matched can realize the lean management of disposable medical supplies in hospital, help the nation's new medical reform strategic intentions.%目的：研究一次性医用耗材在医院的发放、请领、使用及收费等管理环节的现状，找出在系统性浪费上存在的问题和漏洞，通过组织行为的改进，有针对性地解决一次性医用耗材在医院传统管理中存在的问题，减少浪费，提高精益化管理水平，为使用监管提供抓手。方法：运用鱼骨图、循证管理等方法，找出主要问题，借鉴精益化管理思路，提出优化管理方案。结果：重新研发了信息化管理软件系统，并对现行的管理流程和方法进行了优化，使一次性医用耗材在医院临床请领、临床二级库管理、医护人员诊疗使用以及患者出院计费流程中形成数据信息的闭环管理，实现医用耗材的流量、流向管理，有效堵塞浪费和监管漏洞。结论：基于临床路径管理的信息化管理软件设计及与之配套的管理流程和方法的优化，可以实现医院一次性医用耗材的精益化管理，助力国家新医改战略。