中华护理杂志 ›› 2026, Vol. 61 ›› Issue (3): 394-400.DOI: 10.3761/j.issn.0254-1769.2026.03.014

• 护理质量与安全 • 上一篇    下一篇

供应-加工-配送模式下低值医用耗材智能管理的研究

连蕊1(), 郑福雪1, 田君叶2,*(), 谭艳芬3, 宋亚静1, 韩宁1, 李妍1, 蒙景雯2, 曾镇罡3   

  1. 1.北京大学第一医院妇产科生殖医学中心 北京市 100034
    2.北京大学第一医院护理部 北京市 100034
    3.北京大学第一医院医学装备处 北京市 100034
  • 收稿日期:2025-06-18 出版日期:2026-02-10 发布日期:2026-02-03
  • *通讯作者: 田君叶,E-mail:bjyezi8382@163.com
  • 作者简介:连蕊:女,本科,副主任护师,E-mail:lianrui1025@163.com

Research on intelligent management of low-value medical consumables under the Supply-Processing-Distribution Model

LIAN Rui1(), ZHENG Fuxue1, TIAN Junye2,*(), TAN Yanfen3, SONG Yajing1, HAN Ning1, LI Yan1, MENG Jingwen2, ZENG Zhengang3   

  1. 1. Reproductive Medicine Center,Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China
    2. Nursing Department,Peking University First Hospital,Beijing 100034,China
    3. Medical Equipment Department,Peking University First Hospital,Beijing 100034,China
  • Received:2025-06-18 Online:2026-02-10 Published:2026-02-03
  • * Corresponding author: TIAN Junye,E-mail:bjyezi8382@163.com

摘要:

目的 探索基于供应-加工-配送(supply-processing-distribution,SPD)的低值医用耗材智能管理模式及实施效果,为提升医院耗材精细化管理水平提供参考。方法 采用历史对照,将北京市某三级甲等综合医院试点病房常用低值医用耗材纳入管理,其中2024年4—11月的低值医用耗材纳入智能管理组,采用基于SPD的低值医用耗材智能管理模式;2023年3—11月的低值医用耗材纳入常规管理组,采用传统的医用耗材管理模式。比较两组低值医用耗材帐物相符率,科室低值医用耗材管理时间(申请、领取、盘存、盘点)、过期预警率、计费错误发生率、信息登记合格率、可追溯率及护理人员满意度的差异。结果 智能管理组的低值医用耗材账物相符率平均值为99.33%,常规管理组平均值为70.04%(P<0.001)。智能管理组的科室低值医用耗材管理时间(申请、领取、盘存、盘点)低于常规管理组(P<0.001)。智能管理组的低值医用耗材信息登记合格率和可追溯率均为100%,高于常规管理组的94.30%、83.05%(P<0.001)。智能管理组的低值医用耗材过期预警率和计费错误发生率均为0,低于常规管理组的3.61%、7.00%(P<0.001)。护士满意度方面,智能管理组的护理人员满意度总分为3(3,4)分,高于常规管理组的3(2,4)分(P=0.007)。结论 与常规医用耗材管理模式相比,基于SPD的低值医用耗材管理模式能够提升工作效率、降低耗材管理不良事件的发生,提高护理人员满意度。

关键词: 供应-加工-配送, 医用耗材, 低值耗材, 护理管理研究

Abstract:

Objective To explore the intelligent management model and implementation effect of low-value medical consumables based on supply-processing-distribution(SPD) model,and to provide a reference for improving the intelligent management level of hospital consumables. Methods A historical control was adopted. The commonly used low-value medical consumables in the pilot ward of a tertiary general hospital in Beijing were selected as the research objects. The low-value medical consumables from April to November 2024 were included in an intelligent management group and managed with the intelligent management model based on the SPD model.The low-value medical consumables from March to November 2023 were included in a conventional management group and managed with the traditional medical consumable management mode. The supply and sales consistency rate of low-value medical consumables,the time spent on consumables management in the department (application,collection,inventory,and inventory check),the rate of expiration warning,the rate of billing errors,the rate of registration of consumables information,the rate of traceability,and the satisfaction of nursing staff were compared between the 2 groups. Results The supply and sales consistency rate of low-value medical consumables in the intelligent management group average was 99.33%,that in the conventional management group average was 70.04%(P<0.001). The time spent on consumables management in the department(application,collection,inventory,and inventory check) in the intelligent management group was lower than that in the conventional management group(P<0.001). The registration qualification rate and traceability rate of information in the intelligent management group were both 100%,higher than 94.30% and 83.05% in the conventional management group(P<0.001). The rate of expiration warning and the rate of billing errors in the intelligent management group were both 0,lower than 3.61% and 7.00% in the conventional management group(P<0.001). In terms of nurse satisfaction,the total score of nursing staff satisfaction in the intelligent management group was 3(3,4) points,higher than 3(2,4) points in the conventional management group(P=0.007). Conclusion Compared with the traditional medical consumable mana-gement mode,the low-value medical consumables management mode based on SPD can improve work efficiency,reduce the occurrence of adverse events in consumables management,and increase the satisfaction of nursing staff.

Key words: Supply-Processing-Distribution, Medical Consumables, Low-Value Consumables, Nursing Admini-stration Research