【摘要】 目的 开发医用耗材三级库管理系统，实现低值医用耗材闭环式、精细化全流程可追溯管理，提高医用耗材收费的精准度。方法 运用PDCA循环法针对传统低值医用耗材粗放式管理存在的问题采取相对应的措施，参考高值医用耗材全流程追溯管理模式，建立医用耗材三级库管理系统，借助条形码技术实现低值医用耗材扫码入库、扫码出库、扫码记账收费、扫码登记科室损耗及扫码完成科室间耗材的调拨。结果 经过PDCA持续改进后，2021年医用耗材收费错乱条目占比由2019年的0.883%下降到0.054%；收费错乱数量占比由2019年的0.054%下降到0.002%，差异均有统计学意义（P<0.001）。结论 运用PDCA循环法，借助于条形码技术，建立医用耗材三级库管理系统对低值医用耗材进行闭环式、精细化管理，可以有效杜绝错收费、乱收费现象，提高收费准确率。更多还原

【Abstract】 Objective To develop a three-level warehouse management system for medical consumables, and realize closed-loop and refined whole-process traceability management of low-value medical consumables, so as to improve the accuracy of medical consumables charging. Methods The PDCA cycle method was used to take corresponding measures to solve the problems existing in the extensive management of traditional low-value medical consumables, and a three-level warehouse management system of lowvalue medical consumables was established by referring to the full-process traceability management mode of high-value medical consumables. With the help of barcode technology, low-value medical consumables could be swept into storage, swept code out of storage, swept code charge, swept code registration department loss and sweep code to complete the allocation of consumables between departments. Results After the continuous improvement of PDCA, the proportion of the items with incorrect charges for medical consumables decreased from 0.883% in 2019 to 0.054% in 2021. The proportion of unjustified charges decreased from 0.054% in 2019 to 0.002% in 2021, and both the differences were statistically significant(P<0.001). Conclusion Using the PDCA cycle method and with the help of barcode technology, the three-level warehouse management system of common medical consumables can be used for closed-loop and refined management of low-value medical consumables, which can effectively eliminate the phenomenon of wrong charging and disorderly charging and improve the accuracy of charging.更多还原