医院耗材明细--

医院手术室一次性医用耗材管理办法手术室一次性医用耗材管理办法；一、总则；为了进一步加强医院手术室医用耗材管理，维护医院和；二、医用耗材分类；（一）低值一次性医用耗材单价为50元以下的灭菌和；（二）高值一次性医用耗材；根据我院临床医疗项目开展实际情况现将单价为50元；1、可吸收线；2、一次性止痛泵；3、电刀头；4、利尔康手消毒剂、洗手液；5、多酶洗液、器械润滑剂、除锈剂；6、可吸收止血材料；手术室一次性医用耗材管理办法一、总则为了进一步加强医院手术室医用耗材管理，维护医院和患者利益，提高高值医用耗材管理水平，无菌库采取医用耗材零库存、量化管理，特制定XXX手术室高值医用耗材管理办法。

根据各手术科室的手术常规用量，建立所有医用耗材的最低储备量（以1个月为宜），同时设立预警。

库房内保持整齐清洁、温度、湿度适宜，物品分类合理清晰，摆放、取拿有序（先进先出），标识醒目。

二、医用耗材分类（一）低值一次性医用耗材单价为50元以下的灭菌和非灭菌一次性耗材。

（详细目录明细见附件2）（二）高值一次性医用耗材根据我院临床医疗项目开展实际情况现将单价为50元以上的耗材定为“高值医用耗材”。

目录如下：1、可吸收线2、一次性止痛泵3、电刀头4、利尔康手消毒剂、洗手液5、多酶洗液、器械润滑剂、除锈剂6、可接收止血材料7、补片8、骨科材料：钢丝、克氏针、野生关节、髌骨爪、钛合金钢板、钢钉、钛钉、野生骨等。

(三)其他耗材布类敷料、手术器械等。

三、医用耗材具体管理办法（一）低值医用耗材1、三个手术间备有2天用的物品基数，每日用后由白班护士或巡回护士于8:30从前或16:00从前向无菌库请领、补齐。

无菌库做好发放记录。

2、无菌库备有最低储备量，设立预警值，达到预警及时领取、补充。

每年定期清点物资1～2次。

留置针、缝线、敷贴、手套等消耗大的，预警值设为不低于50%的最低储备量；可吸收线预警值设为不低于30%的最低储备量。

3、引流管类因手术消耗较少，对不常用型号可申领最小包装，器械科可不做库存，达到预警值，及时向器械科报计划、进货。

142学术论著收稿日期：2020-08-31[12][13][14]李禹廷,邢登祥,王洪强,等.基于移动家庭医生平台的医患共享电子血压计研发与应用[J].中国医学装备,2019,16(9):1-3.韩云,徐宇红,叶新华,等.“互联网+”慢性病管理模式在2型糖尿病患者中的应用[J].中华护理杂志,2018,53(7):789-794.孙妞妞,宋润珞,王宏运,等.基于云智能系统对2型糖尿病患者院外血糖管理的效果研究[J].中国糖尿中国医学装备2021年3月第18卷第3期 China Medical Equipment 2021 March V ol.18 No.3[文章编号] 1672-8270(2021)03-0142-04 [中图分类号] R197.39 [文献标识码] AAnalysis on the cost of high-value medical consumables for orthopedists in hospitals/LIU Xiang-hua, ZHANG He-hua, WEI An-hai, et al//China Medical Equipment,2021,18(3):142-145.[Abstract] Objective: T o explore the monitoring and management of clinical use of high-value medical consumables for patients with the same disease and different orthopedists. Methods: 555 patients with major orthopedic surgery in our hospital from May to July in 2019 were selected and divided into spine surgery group (346 cases) and joint and limb surgery group (209 cases) according to the different surgical sites. The top 5 doctors (A, B, C, D and E) in the two groups in terms of number of surgical operations were further selected, and analyzed the statistical differences in the cost of high-value medical consumables in patients with same disease and different orthopedists; monthly cost of high-value medical consumables for patients with the same disease and different orthopedists were monitored, and the cost data of high-value medical consumables of the two groups from May to July were compared. Results: The differences of cost of high-value medical consumables used by 5 different orthopedists in the spinal surgery group were statistically significant (x 2=72.762, P <0.05). There was no statistically significant difference in the cost of high-value medical consumables used by 5 different orthopedists in the joint and limb surgery group during the operations (x 2=5.037, P >0.05). The data of surgeons in the two groups showed that the changes in the cost of the average high-value medical consumables for different orthopedists and patients were not the same. Conclusion: The difference in the cost of high-value medical consumables for different orthopedists of the same disease and the monitoring of the monthly cost of high-value medical consumables by orthopedists and patients can accurately evaluate the orthopedists' use of high-value medical consumables, which is conducive to standardizing the clinical use and cost control of high-value medical consumables for patients and improve the scientificity and effectiveness of clinical use of high-value medical consumables.[Key words] High-value medical consumables; Orthopedics; Patient costs; Orthopedist monitoring[First-author’s address] Department of Medical Engineering, Daping Hospital, Military Medical University, Chongqing 400042, China.[摘要] 目的：探讨相同病种对不同医生在手术中使用高值医用耗材的监测与管理。

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