基于定量分析模型的手术器械库存水平设置
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摘要
目的运用定量分析模型,在提高医疗机构手术器械临床满足率的同时,探讨科学的月库存水平。方法对某综合性三甲医院2016年6月至2018年5月两年的手术器械出库数据进行分析,结合其特征按库存管理中的ABC分类法对手术器械进行分类;采用定量分析模型,分析在所需的临床满足率下,各种类手术器械的月库存水平。结果使用FMEA分析的方法将AK 200S以故障后纠正性维修为主的模式转变为以预防性为主的维修模式,按照该医院手术器械出库特征将其分为A、B、C三类;对于B类手术器械,该医疗机构月库存水平总体较低,造成了部分手术器械供应不足情况;对于A、C类,该医疗机构月库存水平总体较高,造成了部分手术器械长期仓储、资源浪费情况;定量分析模型可将该医院手术器械总服务水平增加3.08%的同时,将手术器械库房仓储成本降低4.8%,月仓储资金节省约20.47万元,月备货量降低15.07%。结论目前该医院手术器械的月库存水平缺乏科学依据;定量分析模型是一种可有效提高医院手术器械临床满足率、降低医院仓储成本的方法。
Objective To explore the reasonable stock base and improve the clinical satisfaction about surgical instruments with quantitative analysis model. Methods The surgical instruments outbound data from June 2016 to May 2018 in a comprehensive first-class hospital were analyzed, and surgical instruments were classified into A-B-C according to their characteristics.A quantitative analysis model was used to analyze the monthly inventory level of various surgical instruments at the required clinical satisfaction rate. Results The surgical instruments were classified as category A, B and C. For category B, the present monthly stock base was in a lower state, which resulted in the insufficient supply; for category A and C, the present bases were in a higher state, which caused the long-term storage and waste. By the use of quantitative analysis model, the total service level of surgical equipment in this hospital was increased by 3.08%, while the cost was reduced by 4.8%, the monthly storage cost was saved by about 204,700 yuan, and the monthly storage volume was reduced by 15.07%. Conclusion In this hospital, the monthly stock base of surgical instruments was unreasonable. The quantitative analysis model is an effective method to improve the clinical satisfaction and reduce the storage cost.
Objective To explore the reasonable stock base and improve the clinical satisfaction about surgical instruments with quantitative analysis model. Methods The surgical instruments outbound data from June 2016 to May 2018 in a comprehensive first-class hospital were analyzed, and surgical instruments were classified into A-B-C according to their characteristics.A quantitative analysis model was used to analyze the monthly inventory level of various surgical instruments at the required clinical satisfaction rate. Results The surgical instruments were classified as category A, B and C. For category B, the present monthly stock base was in a lower state, which resulted in the insufficient supply; for category A and C, the present bases were in a higher state, which caused the long-term storage and waste. By the use of quantitative analysis model, the total service level of surgical equipment in this hospital was increased by 3.08%, while the cost was reduced by 4.8%, the monthly storage cost was saved by about 204,700 yuan, and the monthly storage volume was reduced by 15.07%. Conclusion In this hospital, the monthly stock base of surgical instruments was unreasonable. The quantitative analysis model is an effective method to improve the clinical satisfaction and reduce the storage cost.
引文
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[3]张洪彬,金蓓,熊露.基于A B C分类库存控制法的泌尿外科非植入性医疗器械的物流管理研究[J].中国医学装备,2018,15(7):124-126.
[4]任雪甜.供应链环境下的医疗器械产品的联合库存优化研究[D].北京:北京交通大学,2016.
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[9]严彬,严君,陈焱,等.骨科植入物及器械库存式管理模式降低手术室护理人力成本[J].解放军护理杂志,2012,29(4):62-64.
[10]赵学锋,黄陶.维修配件库存控制策略的实证研究[J].华中科技大学学报(自然科学版),2004,32(7):60-63.
[11]Mehdizadeh M.Integrating ABC analysis and rough set theory to control the inventories of distributor in the supply chain of auto spare parts[J].Compu Ind Eng,2019.
[12]刘靖宇.医院库存物资会计核算探-以某三级甲等医院为例[J].财会通讯,2014,(7):49-51.
[13]张文静,钟胜,吴晓东.医院内部物流配送管理信息系统设计及库房主动式管理模式探讨[J].现代仪器与医疗,2013,19(3):33-37.
[14]张文静,钟胜,吴晓东.一次性医用材料零星领用影响因素及控制策略分析[J].中国医院,2013,(6):39-41.
[15]曾峥.医院物流成本管理浅议[J].企业导报,2011,(17):88.
[16]张宏丽,郑南波,彭莉蓉,等.ABC分类法在三级医院药品库存周转率管理中的应用[J].临床医学研究与实践,2018(20):187-189.
[17]骆世娟,马中元,唐磊,等.使用ABC分类法分析和管理气象装备库存器材[J].气象水文海洋仪器,2010,27(3):73-76.C
[2]曲松涛,王晓鹏,孙希昌,等.公立医院物流成本评价及控制模型研究[J].中国医院管理,2012,32(6):64-65.
[3]张洪彬,金蓓,熊露.基于A B C分类库存控制法的泌尿外科非植入性医疗器械的物流管理研究[J].中国医学装备,2018,15(7):124-126.
[4]任雪甜.供应链环境下的医疗器械产品的联合库存优化研究[D].北京:北京交通大学,2016.
[5]张黎.PNMS备件分类方法与库存控制策略研究[D].沈阳:东北大学,2011.
[6]陈瑜韫.SSME大型医疗器械生产企业库存控制研究[D].上海:上海交通大学,2011.
[7]金磊.某医疗器材公司维修备件库存管理问题研究[D].上海:上海交通大学,2010.
[8]齐悦.医疗器械供应链中的库存管理-大昌公司在供应链库存改进中的研究与实践[D].上海:复旦大学,2009.
[9]严彬,严君,陈焱,等.骨科植入物及器械库存式管理模式降低手术室护理人力成本[J].解放军护理杂志,2012,29(4):62-64.
[10]赵学锋,黄陶.维修配件库存控制策略的实证研究[J].华中科技大学学报(自然科学版),2004,32(7):60-63.
[11]Mehdizadeh M.Integrating ABC analysis and rough set theory to control the inventories of distributor in the supply chain of auto spare parts[J].Compu Ind Eng,2019.
[12]刘靖宇.医院库存物资会计核算探-以某三级甲等医院为例[J].财会通讯,2014,(7):49-51.
[13]张文静,钟胜,吴晓东.医院内部物流配送管理信息系统设计及库房主动式管理模式探讨[J].现代仪器与医疗,2013,19(3):33-37.
[14]张文静,钟胜,吴晓东.一次性医用材料零星领用影响因素及控制策略分析[J].中国医院,2013,(6):39-41.
[15]曾峥.医院物流成本管理浅议[J].企业导报,2011,(17):88.
[16]张宏丽,郑南波,彭莉蓉,等.ABC分类法在三级医院药品库存周转率管理中的应用[J].临床医学研究与实践,2018(20):187-189.
[17]骆世娟,马中元,唐磊,等.使用ABC分类法分析和管理气象装备库存器材[J].气象水文海洋仪器,2010,27(3):73-76.C