Hartmann M, Schulz D, Gundermann C, Norgauer J
Universitätsklinikum Jena, Erlanger Allee 101, 07747 Jena.
Hautarzt. 2007 Nov;58(11):970-4. doi: 10.1007/s00105-007-1370-5.
Despite the advantages of modern wound management, it is still employed too rarely because of higher costs and lack of information available to the medical staff. At the University Hospital Jena, the assortment of hydroactive wound dressings has been optimized, in order to increase acceptance and attain cost advantages.
The defined target sizes were differentiated according to economic and qualitative parameters. The economic parameters included the reduction in the total costs for wound management, adjusted for the case mix and the number of cases. Among the qualitative parameters were reducing the number of suppliers and the number of orders outside the standard offerings.
Via standardization, the average expenses per case for hydroactive wound applications could be reduced by 10.3% and the average expenses per weighted German DRG by 15.9%. As a result of the reorganization of the assortment, the number of suppliers was reduced by 57.1% and two main and one secondary supplier were designated. The number of orders outside the standard assortment was reduced from 173 to 21 (87.8%).
The standardization of the assortment of hydroactive wound applications has led to an increase in procedural efficiency and effectiveness at the University Hospital Jena, in addition to a reduction in the cost of material and in the number of suppliers.
尽管现代伤口管理具有诸多优势，但由于成本较高且医务人员缺乏相关信息，其应用仍然很少。在耶拿大学医院，水活性伤口敷料的种类已得到优化，以提高接受度并获得成本优势。
根据经济和质量参数区分规定的目标尺寸。经济参数包括伤口管理总成本的降低，并根据病例组合和病例数量进行调整。质量参数包括减少供应商数量以及标准产品以外的订单数量。
通过标准化，水活性伤口应用的平均每例费用可降低10.3%，每加权德国疾病诊断相关分组的平均费用可降低15.9%。由于产品种类的重组，供应商数量减少了57.1%，并指定了两个主要供应商和一个次要供应商。标准产品以外的订单数量从173减少到21（减少了87.8%）。
水活性伤口应用产品种类的标准化除了降低材料成本和供应商数量外，还提高了耶拿大学医院的程序效率和效果。
