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外科研究与新技术(中英文) ›› 2025, Vol. 14 ›› Issue (3): 280-284.doi: 10.3969/j.issn.2095-378X.2025.03.018

• 医疗器械园地 • 上一篇    下一篇

基于HRP系统医用耗材多维管理体系构建及实证研究

陆强1, 周阳2   

  1. 1.上海市嘉定区妇幼保健院设备科,上海 201821;
    2.上海市胸科医院(上海交通大学医学院附属胸科医院) SPD管理办,上海 200030
  • 收稿日期:2025-04-08 出版日期:2025-09-28 发布日期:2025-10-17
  • 通讯作者: 周阳,电子信箱:385936393@qq.com
  • 作者简介:陆强(1982—),男,初级工程师,从事医院设备管理工作
  • 基金资助:
    2023年上海市康复医学会健康管理科研基金课题项目(2023JGKT06)

Construction and empirical study of multidimensional management system of medical consumables based on HRP system

LU Qiang1, ZHOU Yang2   

  1. 1. Medical Equipment Department, Jiading District Maternal and Child Health Hospital, Shanghai 201821, China;
    2. SPD Management Office, Shanghai Chest Hospital (Chest Hospital Affiliated to Shanghai Jiao Tong University School of Medicine), Shanghai 200030, China
  • Received:2025-04-08 Online:2025-09-28 Published:2025-10-17

摘要: 目的 构建基于医院资源规划(HRP)系统的医用耗材多维管理体系(MMM-MCM),验证其对于耗材管理效能的提升作用。方法 通过唯一设备标识符(UDI溯源)、ABC-VEN 矩阵分析法、建立涵盖质量(UDI溯源)、成本(ABC-VEN分类)、效率(动态库存)、风险(廉政预警)四大维度的管理体系。采用前瞻性干预研究方法分析2020—2024年医院耗材数据(1 236 589条),通过双重差分(DID)模型对实施MMM-MCM前后的管理效能进行分析。结果 实施MMM-MCM后管理质量综合评分达(92.3±3.1)分,提升35.1%(P<0.001)。具体成效:(1)库存周转率提升38.7%,验收差错率降至0.9%;(2)供应商证照完整率提升至99.6%(P<0.001),配送准时率提高28.5%;(3)高值耗材成本核算误差率降至2.1%,资金占用减少2 100万元。结论 创新性将HRP系统与医疗耗材全生命周期管理深度融合后,所构建的MMM-MCM模型可显著提升医用耗材管理标准化水平,为医院精益运营提供可推广管理范式。

关键词: 医用耗材, 医院资源规划系统, 多维管理体系

Abstract: Objective To establish a multidimensional management system of medical consumables(MMM-MCM) based on hospital resource planning (HRP) system and validate its operational efficacy. MethodA four-dimensional management framework was constructed encompassing quality control [unique device identifier(UDI) traceability], cost optimization (ABC-VEN classification), operational efficiency (dynamic inventory), and risk mitigation (integrity early-warning).A prospective intervention research method was used to analyze the hospital consumables data (1 236 589 items) from 2020 to 2024, and a difference-in-difference (DID) model was used to analyze the management efficiency before and after the implementation of MMM-MCM. Results Post-implementation outcomes demonstrated 35.1% improvement in comprehensive management score (92.3±3.1) compared with baseline (P<0.001). Specifically, (1) the inventory turnover increased by 38.7% with acceptance error rate reduced to 0.9%; (2) the supplier license completeness reached 99.6% with 28.5% higher delivery punctuality;(3)high-value consumables cost accounting errors decreased to 2.1%, freeing up ¥21 million capital. Conclusion The MMM-MCM model significantly enhances standardization in medical consumables management after innovatively integrating the HRP system with the whole-life management of medical consumables, providing a replicable paradigm for hospital lean operations.

Key words: Medical consumables, Hospital resource planning system, Multidimensional management system

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