建構資訊化模式改善一般外科手術A類醫材庫存管理缺失率

Improving the Inventory Shortage of Surgical Operational Material through Establishment of an Informational System

10.29494/LN.201512_16(4).0007

蔡少雲(Shao-Yun Tsai)；雷宜芳(Ei-Fang Lei)；黃惡如(Hui-Ju Huang)；陳小蓮(Hsiao-Lien Chen)

資訊化模式 ； 醫材庫存管理 ； 缺失率 ； management information system model ； surgical material inventory management ； variant rate

領導護理

16卷4期（2015 / 12 / 01）

76 - 89

繁體中文

手術室醫材佔醫院醫材預算50%以上，A類醫材正確合宜的管理，可有效控制營運及庫存成本。2010年6月手術室一般外科A類醫材庫存管理缺失率達12.6%，故本專案目標為改善手術室一般外科A類醫材庫存管理缺失率。透過現況分析發現醫材管理管理缺失率高的原因為人員疏失、缺乏資訊化管理系統、醫材管理流程不完善、缺乏教育訓練規畫等。其改善方案包含建構資訊化系統管理，訂定一般外A科類醫材管理辦法、集中醫材管理、建立醫師常用A類醫材本、人員教育訓練規劃、重新訂定庫存量、建立查核機制等措施。專案實施後，統計2011年庫存管理缺失率及異常管理事件下降至0%、資訊化管理系統執行完整率達100%。本專案可有效改善一般外科手術A類醫材缺失率，使管理人員明確掌控醫材動向，以防止人為操作疏失，確保手術安全，並有效管控手術室醫材庫存成本。

The cost of the surgical materials for operation occupies over fifty percent of a hospital budget. Accurate and proper management of the category A surgical materials for operation may effectively control business operations and inventory costs. The inventory shortage rate of surgical materials for operation was 12.6% in June of 2010. This project aims to improve the inventory shortage rate of category A surgical materials for general operation. The situational analysis indicated that the major reasons for a high inventory shortage rate of category A materials included human error, lack of a management information system, an incomplete process of managing surgical materials, and a lack of an educational training plan. An improvement project included developing a management information system, regulating managerial methods for category A materials, centralizing management of surgical materials for operation, compiling a handbook for common category A materials, planning an educational training program for the staff, revising the current storage inventory amount, and setting up an auditing mechanism. After the project was implemented, the inventory shortage rate of surgical materials for operation and incident report in 2011 decreased to zero percent, and the integrity rate of the management information system reached 100 percent. This project effectively improved the inventory shortage rate of category A surgical materials for general operation. The manager could fully control the use of category A surgical materials to prevent human-operated errors, ensure surgical operation safety, and effectively control the inventory cost of surgical materials in the operating room.

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