Background: There are 11 surgical departments in the operating room of Renai Hospital. 30 manufacturers provide at least 220 items of medical materials for surgery, and the inventory of the smallest package items exceeds 1,000, and the total amount exceeds $300,000. Therefore, the proper charge of the materials used is very important. The inability to detect pricing errors in time is due to the fact that the management of special medical materials relies on a cumbersome and fragmented inventory model, which leads to modify the medical order to correct the pricing operations and require patients to return to make up for the missed fees.
Methods: After reintegrated all the items, it unified the point shift verification management according to the department and sequence number for saved and the accuracy rate of the point shift is improved. Verify the correct pricing of each bill based on the correct order, so that pricing errors can be discovered in time, and the frequency of medical order revisions can be reduced. The medical materials used every day were originally used to dictate the patient information and the model batch number used to the manufacturer by telephone. Instead, they are processed by E-mail, which saves time and telephone costs, and reduces the error rate during dictation. The team started to modify the process in 2021, divided into four levels: 1. Special medical materials management; 2. Bill collection; 3. Notifying manufacturers to order goods; 4. Goods receiving. In this study, data was collected by operating room bills, and statistical and graphing software GraphPad Prism was used for statistical analysis. All data are expressed in terms of average ± standard deviation (mean ± SD), 2020 (before) and 2021 (after ), the results are analyzed by t-test, and a p value less than 0.05 indicates a statistically significant difference.
Results: 1. After changing the management mode, the statistical analysis of the counting hours of materials showed significant differences, respectively is 1015±49 and 351±18 (mins), p<0.001. 2.The bill collection model, the hours of consolidated pricing orders showed significant differences, respectively is 1692±81 and 1053±56 (mins), p<0.001. 3. The ordering mode of contacting manufacturers, the number of hours is decrease, respectively is 676±34 and 293±13 (mins), p<0.001. 4.The receiving mode, the number of hours is reduce, respectively is 3384±163 and 702±37 (mins), p<0.001.
Conclusions: After process change, the number of medical order amendments and the amount affected by the amendments to the medical order decreased significantly, effectively improving the special operation Incorrect pricing of medical materials and omission of pricing.