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某院医用耗材临床使用合理性评估路径探索

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医用耗材临床合理使用对提高医疗质量和控制医疗成本具有重要意义.2023年6月,某三级甲等医院通过组建管理组织体系,制定医院重点监测医用耗材清单,搭建配套的信息系统和数据库,建立临床耗材使用预警机制,按照全院-科室-病种-术式层层深入的分析方式,探索了临床耗材使用合理性评估路径,取得良好效果.以可吸收止血纱为例,通过实施该评估路径,及时发现了该类耗材在临床使用中存在的问题,并进行针对性整改.经整改后,2023年第三季度全院可吸收止血纱使用数量(209.0片)较同年第二季度(254.0片)有所下降,临床使用更加合理规范.该评估路径实现了对重点监控医用耗材的精细化管控,可为其他医院开展医用耗材临床合理使用管理提供借鉴.
Exploration of the rationality evaluation path for clinical use of medical consumables in a hospital
The rational use of medical consumables in clinical practice is of great significance for improving medical quality and controlling medical costs.In June 2023,a tertiary hospital established a management organization system,formulated a list of key monitored medical consumables,built supporting information system and database,and established a warning mechanism,to explore the rationality evaluation path for clinical use of medical consumables through in-depth analysis of the entire hospital-department-disease-surgical procedure.This evaluation path achieved good results.Taking absorbable hemostatic gauze as an example,through implementing this evaluation path,problems with the clinical use of this consumable were promptly identified,and targeted improvements were made.After rectification,the number of absorbable hemostatic gauze used in the third quarter of 2023(209.0 pieces)had decreased compared to the second quarter of the same year(254.0 pieces),and clinical use was more reasonable and standardized.This evaluation path achieved refined control over key monitored medical consumables,which could provide references for other hospitals to carry out the management of clinical rational use of medical consumables.

Medical consumablesClinical useReasonability evaluationEvaluation pathFine management

苏艳丽、高晴、顾乡、刘壮、马基远、张忠涛

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首都医科大学附属北京友谊医院医务处,北京 100050

首都医科大学附属北京友谊医院信息中心,北京 100050

首都医科大学附属北京友谊医院院长办公室,北京 100050

医用耗材 临床使用 合理性评估 评估路径 精细化管理

2024

中华医院管理杂志
中华医学会

中华医院管理杂志

CSTPCD北大核心
影响因子:1.495
ISSN:1000-6672
年,卷(期):2024.40(9)