基于FMEA的C形臂X线机的使用风险分析与控制  

Risk Analysis and Control of C Arm X-ray Machine Based on the FMEA

作　　者：李萍[1] 陶达[2] 李艳华[3] 董洁[2] 罗轶玮[1] 李新明 

机构地区：[1]同济大学附属东方医院,上海200120 [2]同济大学机械学院,上海200092 [3]同济大学医学院,上海200092 [4]上海市浦东新区周浦医院,上海201318

出　　处：《中国医院管理》2013年第6期69-71,共3页Chinese Hospital Management

基　　金：上海市浦东新区科技发展基金创新资金项目(PKJ2009-Y20);上海市卫生局科研课题计划(2008043)

摘　　要：目的基于失效模式与效应分析(FMEA)方法分析控制C形臂X线机的使用风险。方法成立FMEA5人小组,运用现场观察和访谈的方法,识别C形臂X线机使用的潜在失效模式,并对其发生的严重度、发生概率及检测的难易度进行评价打分,计算失效原因的风险优先指数。结果FMEA小组找出了必须优先解决的C臂机使用的失效模式,制定并实施了改进措施,在不增加管理成本的基础上,取得了良好的管理效果。结论FMEA可以评估医疗设备使用过程的失效,并能排序优先解决的问题,不增加管理成本就能预防问题的发生,是有效的过程管理工具。Objective Based on FMEA, analysis and control, to use risk of C arm X-ray machine. Methods A 5- member FMEA group was firstly set up. Then on spot observation and interview method was applied to identify the po- tential failure mode of C arm X-ray machine as well as to evaluate the severity level, occurrence probability of failure and difficulty level of detection. RPN was calculated at last. Results The FMEA group identified the failure mode of C arm ma- chine which is prior to be improved, and then successfully revised and applied the measures. The result turned out to be satisfied without any extra management cost. Conclusion FMEA can be used to evaluate and identify process failure, so as to sort priority of problems. It is proved that FMEA can prevent potential failure without increasing management cost and that makes it an efficient management tool.

关 键 词：失效模式与影响分析 C形臂X线机 使用风险 医院管理 

分 类 号：R197.39[医药卫生—卫生事业管理]