摘要
目的解决医疗器械唯一标识(Unique Device Identification,UDI)编码品种覆盖难点,实现高值耗材的全流程闭环管理,耗材溯源验真,加强质量管理。方法通过SPD平台编码体系与UDI编码集成对接,实现UDI编码、SPD编码、耗材原厂码“三码合一”,可计费耗材UDI编码与医院信息系统计费编码对码,实现耗材在入库、存储、发放、计费等院内流转时基于UDI编码的全流程可追溯管理。结果采用UDI编码管理后耗材追溯更快捷、精准,工作人员用于管理医用耗材各环节(申请、领取、盘库、计费)的时间显著缩短,植入性高值医用耗材计费错误率显著降低,差异均具有统计学意义(P<0.05)。结论UDI编码逐步推广的过程中对现行赋码环节逐步替代,最终实现全流程可追溯,且各管理时间显著缩短,计费准确性显著提高,可为耗材集采工作的科学开展、真正实现耗材合理性使用评价及DRGs单病种计费的统一管理提供数据支持。
Objective To solve the difficulty of covering the unique device identification(UDI)coded varieties of medical devices,realize the closed-loop management of the whole process of high-value consumables,trace the source of consumables,and strengthen the quality management.Methods Through the integration and docking of SPD platform coding system and UDI coding,the“three-code integration”of UDI coding,SPD coding and consumables original code was realized,and the UDI coding of billable consumables was matched with the billing code of hospital information system,so as to realize the traceability management of the whole process based on UDI coding during the in-hospital circulation of consumables,such as warehousing,storage,distribution and billing.Results After the application of UDI coding,consumables traceability was faster and more accurate,the time for staff to manage all aspects of medical consumables(application,receipt,inventory,billing)was significantly shortened,and the billing error rate of high-value implantable medical consumables was significantly reduced,with statistical significance(P<0.05).Conclusion In the process of the gradual promotion of UDI coding,the current coding link is gradually replaced,and the whole process is finally traceable,and the management time is significantly shortened,and the billing accuracy is significantly improved,which can provide data support for the scientific development of consumables collection work,the real rational use evaluation of consumables and the unified management of DRGs single disease billing.
作者
唐文娟
舒慧宇
王宜威
徐骏
TANG Wenjuan;SHU Huiyu;WANG Yiwei;XU Jun(Procurement Logistics Center,Nanjing Medical University Affiliated Nanjing Hospital(Nanjing First Hospital),Nanjing Jiangsu 210006,China;Social Service Department,Nanjing Medical University Affiliated Nanjing Hospital(Nanjing First Hospital),Nanjing Jiangsu 210006,China;Shanghai Wanxu Health Technology Co.,Ltd.,Shanghai 201900,China)
出处
《中国医疗设备》
2024年第10期132-138,共7页
China Medical Devices
基金
江苏省卫生健康委科研课题(BJ19006)
江苏省医院协会医院管理创新研究课题(JSYGY-3-2020-298)。
关键词
医疗器械唯一标识
智能追溯
三码合一
耗材管理
全流程管理
高值医用耗材
unique device identification(UDI)
intelligent traceability
three-code integration
consumables management
whole process management
high value medical consumables
