Ito Nobuko, Chinzei Mieko, Fujiwara Haruko, Usui Hisako, Hanaoka Kazuo, Saitoh Eisho
Department of Anesthesiology, The University of Tokyo, Faculty of Medicine, Tokyo 113-8655.
Masui. 2006 Apr;55(4):478-85.
Supply, Processing and Distribution system had been introduced to surgical center (the University of Tokyo Hospital) since October of 2002. This system had reduced stock for medicine and materials and decreased medical cost dramatically. We designed some kits for therapeutic drugs related to anesthesia. They were prepared for general anesthesia, epidural and spinal anesthesia, and cardiovascular anesthesia, respectively. One kit had been used for one patient, and new kits were prepared in the anesthesia preparation room by pharmaceutical department staffs. Equipment, for general anesthesia as well as epidural and spinal anesthesia, and central catheter set were also designed and provided for each patient by SPD system. According to the questionnaire of anesthesia residents before and after introduction of SPD system, the time spent for anesthesia preparation had been reduced and 92.3% residents had answered that preparation for anesthesia on the previous day was getting easier. Most of the anesthesia residents had been less stressed after introduction of SPD system. Beside the dramatic economical effect, coordination with SPD system and pharmaceutical department reduced anesthesia preparation time and stress of the staff. Introduction of Support system of SPD to surgical center is important for safe and effective management of operating rooms.
自2002年10月起，供应、处理和配送系统已引入外科中心（东京大学医院）。该系统减少了药品和物资库存，并大幅降低了医疗成本。我们设计了一些与麻醉相关的治疗药物套装。它们分别用于全身麻醉、硬膜外和脊髓麻醉以及心血管麻醉。每个套装供一名患者使用，新套装由药学部工作人员在麻醉准备室准备。全身麻醉以及硬膜外和脊髓麻醉的设备以及中心导管套件也由供应处理配送（SPD）系统为每位患者设计并提供。根据引入SPD系统前后麻醉住院医师的调查问卷，麻醉准备时间减少，92.3%的住院医师表示前一天的麻醉准备变得更容易。引入SPD系统后，大多数麻醉住院医师的压力减轻。除了显著的经济效益外，与SPD系统和药学部的协调减少了麻醉准备时间和工作人员的压力。将SPD支持系统引入外科中心对于手术室的安全有效管理很重要。
