Application of Lean Management Based on Constraint Theory in Standardized Management of Orthopedic Outpatient Medical Devices
Objective To explore the application of lean management based on constraint theory in standardized management of orthopedic outpatient medical devices.Methods A total of 560 surgeries using external devices by the hospital's orthopedic department from March 2022 to June 2023 were selected and divided into observation group and control group,with 280 surgeries in each group.The control group used conventional management methods,while the observation group implemented lean management based on constraint theory.The quality of external device supply,management,device-related defect incidents,postoperative wound infection rate,and device satisfaction among medical staff were compared between two groups.Results The observation group showed higher rates of timely device supply,correct device supply,and qualified device supply compared with control group(P<0.05).The observation group also had higher rates of device cleaning and disinfection compliance,device disassembly compliance,device assembly compliance,and device packaging compliance,with a lower occurrence of wet packs compared to control group(P<0.05).The observation group had lower rates of device type or quantity discrepancies,device loss,and device damage compared to control group(P<0.05).The postoperative wound infection rate was lower in observation group than that in control group(P<0.05).The device satisfaction among medical staff was higher in observation group than that in control group(P<0.05).Conclusion Lean Management based on constraint theory can to some extent compensate for the shortcomings in the standardized management of orthopedic outpatient medical devices,significantly improving the quality of device supply and management,reducing device-related defect incidents and wound infection rates,and enhancing device satisfaction among medical staff.
Orthopedicsexternal medical devicesConstraint TheoryLean Management