北京医院临床检验体外诊断试剂的遴选与优化管理实践
Selection and Optimization Management of in Vitro Diagnostic Reagents for Clinical Examination in Beijing Hospital
宋景晨 1李传保 2盖媛媛 1吴锁薇 1刘蕾 3李旭颖 4郭芷萱 2姚德明5
作者信息
- 1. 北京医院/国家老年医学中心,中国医学科学院老年医学研究院 医务处,北京 100730
- 2. 北京医院/国家老年医学中心,中国医学科学院老年医学研究院 检验科,北京 100730
- 3. 北京医院/国家老年医学中心,中国医学科学院老年医学研究院 药学部,北京 100730
- 4. 北京医院/国家老年医学中心,中国医学科学院老年医学研究院 财务处,北京 100730
- 5. @@@a.Department of Medical;b.Department of Clinical Laboratory;c.Department of Pharmacy;d.Department of Finance,Beijing Hospital/National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China
- 折叠
摘要
目的 形成临床检验体外诊断试剂(in vitro diagnostic reagents,IVD)遴选与优化的管理方案和管理数据库,优化IVD管理工作.方法 对政策背景和北京医院临床检验IVD的管理现状进行分析,基于临床需求,制定已开展和新申请检验项目IVD的遴选与优化管理方案,通过梳理项目、公开招标、创新报价方式、现场评审等步骤,对全院IVD进行遴选和优化,形成北京医院IVD管理数据库和资质数据库,并从合规性、工作效率和成本管控方面进行效果评估.结果 按照制定的IVD遴选与优化管理方案完成全院1 737项IVD的遴选和优化工作,管理方案的实施提高了工作效率,平均一次会议评审的内容增加10倍以上,加快了新申请IVD准入频率;降低了 IVD成本,全院采购金额平均降幅约15％,重点IVD产品遴选后较遴选前价格降低,且差异具有统计学意义(r=2.493,P=0.034).结论 IVD遴选与优化的管理方案切实可行,可以达到"保合规,提效率,降成本"的目标.
Abstract
Objective To form the in vitro diagnostic reagents(IVD)selection and optimization management plan and management database,and optimize the IVD management work.Methods Through the analysis of the policy background and the current management status of the IVD clinical laboratory in Beijing Hospital,the selection and optimization management plan for existing and newly applied laboratory IVD was formulated based on clinical needs.The IVD of the whole hospital was selected and optimized by combing projects,open bidding,innovative quotation methods,on-site review and other steps.The IVD management database and qualification database of Beijing Hospital was formed,and the effect from the aspects of compliance,work efficiency and cost control was evaluated.Results The selection and optimization of 1 737 IVDs in the whole hospital were completed according to the formulated IVD selection and optimization management plan.The implementation of management plan improved the work efficiency.The content of review in an average meeting was increased by more than 10 times,and the frequency of new applications for IVD access was accelerated,while the IVD cost was reduced,and the average purchase amount of the whole hospital was reduced by about 15％.The prices of key IVD products were lower after selection than before selection,and the difference was significant(t=2.493,P=0.034).Conclusion The management scheme of IVD selection and optimization was feasible,and it could achieve the goal of ensuring compliance,improving efficiency and reducing costs.
关键词
体外诊断试剂/试剂遴选/试剂管理优化Key words
in vitro diagnostic reagents/reagents selection/reagents management optimization引用本文复制引用
基金项目
北京医院院级科研项目(2022-2023)(BJ-2021-226)
出版年
2024
国家科技期刊平台
NSTL
万方数据