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高值医用耗材UDI智能追溯管理应用分析

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目的 解决医疗器械唯一标识(Unique Device Identification,UDI)编码品种覆盖难点,实现高值耗材的全流程闭环管理,耗材溯源验真,加强质量管理.方法 通过SPD平台编码体系与UDI编码集成对接,实现UDI编码、SPD编码、耗材原厂码"三码合一",可计费耗材UDI编码与医院信息系统计费编码对码,实现耗材在入库、存储、发放、计费等院内流转时基于UDI编码的全流程可追溯管理.结果 采用UDI编码管理后耗材追溯更快捷、精准,工作人员用于管理医用耗材各环节(申请、领取、盘库、计费)的时间显著缩短,植入性高值医用耗材计费错误率显著降低,差异均具有统计学意义(P<0.05).结论 UDI编码逐步推广的过程中对现行赋码环节逐步替代,最终实现全流程可追溯,且各管理时间显著缩短,计费准确性显著提高,可为耗材集采工作的科学开展、真正实现耗材合理性使用评价及DRGs单病种计费的统一管理提供数据支持.
Application Analysis of the UDI Intelligent Traceability Management for High Value Medical Consumables
Objective To solve the difficulty of covering the unique device identification(UDI)coded varieties of medical devices,realize the closed-loop management of the whole process of high-value consumables,trace the source of consumables,and strengthen the quality management.Methods Through the integration and docking of SPD platform coding system and UDI coding,the"three-code integration"of UDI coding,SPD coding and consumables original code was realized,and the UDI coding of billable consumables was matched with the billing code of hospital information system,so as to realize the traceability management of the whole process based on UDI coding during the in-hospital circulation of consumables,such as warehousing,storage,distribution and billing.Results After the application of UDI coding,consumables traceability was faster and more accurate,the time for staff to manage all aspects of medical consumables(application,receipt,inventory,billing)was significantly shortened,and the billing error rate of high-value implantable medical consumables was significantly reduced,with statistical significance(P<0.05).Conclusion In the process of the gradual promotion of UDI coding,the current coding link is gradually replaced,and the whole process is finally traceable,and the management time is significantly shortened,and the billing accuracy is significantly improved,which can provide data support for the scientific development of consumables collection work,the real rational use evaluation of consumables and the unified management of DRGs single disease billing.

unique device identification(UDI)intelligent traceabilitythree-code integrationconsumables managementwhole process managementhigh value medical consumables

唐文娟、舒慧宇、王宜威、徐骏

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南京医科大学附属南京医院(南京市第一医院)采购物流中心,江苏南京 210006

上海万序健康科技有限公司,上海 201900

南京医科大学附属南京医院(南京市第一医院)社会服务部,江苏南京 210006

医疗器械唯一标识 智能追溯 三码合一 耗材管理 全流程管理 高值医用耗材

江苏省卫生健康委科研课题江苏省医院协会医院管理创新研究课题

BJ19006JSYGY-3-2020-298

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(10)