การลดต้นทุนหน่วยคลังเลือดด้วยแนวคิดแบบลีน

Abstract

This research studied the cost reduction of the blood bank associated with the lean concept in the Blood Bank and Transfusion Medicine at Songklanagarind Hospital. The objective is to analyze the unit-product cost of blood components and eliminate unnecessary activities in the blood bank. The analysis result of activity - based costing showed that the cost of Packed red cells (PRC), Leukocyte poor packed red cells (LPRC), Leukocyte depleted packed red cells (LDPRC), Fresh frozen plasma (FFP), Cryo-removed plasma (CRP), Cryoprecipitate, Platelet Concentrate (PC), Leukocyte depleted platelet concentrate (LDPC) and Single donor platelet (SDP) were 365.02, 542.09, 1,434.89, 358.77, 817.71, 293.00, 300.80, 1,621.93 and 6,262.60 baht per bag, respectively. In addition, from the analysis of wastes the result showed that three main wastes were the waiting, thr transportation, and the extra processing were blood donation form fill and excessive producing of a single donor platelet by using the bag from T Company. The first waste was the processes of waiting for entering the screening room and registration. The second one was the unnecessary activitiy in transportation depending on the walking route of the donors. After eleminating the unnecessary activities, the results showed that the time of blood donation form fill up was reduced from 7.2 to 3.6 baht per person, the waiting time for entering the screening room and registration was reduced from 16.8 to 9.6 baht per person. The walking distance was decreased from 3.5 to 2.8 baht per person. Finally, the production of single donor platelet by using only the bag from A company can be reduced the cost at least 1.13 million baht per year.