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德里一家公立医院手术供应室的 ABC、VED 和提前期分析。

ABC, VED and lead time analysis in the surgical store of a public sector tertiary care hospital in Delhi.

机构信息

Master Student, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia.

Assistant Professor, Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Public Health. 2019 Jul-Sep;63(3):194-198. doi: 10.4103/ijph.IJPH_282_18.

Abstract

BACKGROUND

An efficient inventory control system would help optimize the use of resources and eventually help improve patient care.

OBJECTIVES

The study aimed to find out the surgical consumables using always, better, and control (ABC) and vital, essential, and desirable (VED) technique as well as calculating the lead time of specific category A and vital surgical consumables.

METHODS

This was a descriptive, record-based study conducted from January to March 2016 in the surgical stores of the All India Institute of Medical Sciences, New Delhi. The study comprised all the surgical consumables which were procured during the financial year 2014-2015. Stores ledger containing details of the consumption of the items, supply orders, and procurement files of the items were studied for performing ABC analysis and calculating the lead time. A list of surgical consumables was distributed to the doctors, nursing staff, technical staff, and hospital stores personnel to categorize them into VED categories after explaining them the basis for the classification.

RESULTS

ABC analysis revealed that 35 items (14%), 52 items (21%), and 171 items (69%) were categorized into A (70% annual consumption value [ACV]), B (20% ACV), and C (10% ACV) category, respectively. In the current study, vital items comprised the majority of the items, i.e., 73% of the total items and essential (E) category of items comprised 26% of all the items. The average internal, external, and total lead time was 17 days (range 3-30 days), 25 days (range 5-38) and 44 days (range 18-98 days), respectively.

CONCLUSIONS

Hospitals stores need to implement inventory management techniques to reduce the number of stock-outs and internal lead time.

摘要

背景

有效的库存控制系统有助于优化资源利用,最终有助于改善患者护理。

目的

本研究旨在使用 ABC(总是、更好、控制)和 VED(重要、必需、理想)技术找出经常使用的手术耗材,并计算特定 A 类和重要手术耗材的提前期。

方法

这是一项描述性、基于记录的研究,于 2016 年 1 月至 3 月在新德里全印度医学科学研究所的外科手术室进行。本研究包括在 2014-2015 财年采购的所有手术耗材。研究了商店分类帐,其中包含物品消耗、供应订单和采购文件的详细信息,以进行 ABC 分析并计算提前期。向医生、护理人员、技术人员和医院商店人员分发了一份手术耗材清单,在解释分类依据后,让他们将耗材分为 VED 类别。

结果

ABC 分析显示,35 种物品(14%)、52 种物品(21%)和 171 种物品(69%)分别归入 A(70%年消费价值[ACV])、B(20% ACV)和 C(10% ACV)类别。在本研究中,重要物品占多数,即总物品的 73%,E 类物品占所有物品的 26%。平均内部、外部和总提前期分别为 17 天(范围 3-30 天)、25 天(范围 5-38 天)和 44 天(范围 18-98 天)。

结论

医院商店需要实施库存管理技术,以减少缺货和内部提前期。

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