可监管可追溯的消化内镜测漏研究  

Study on the Monitoring and Traceability of Digestive Endoscopic Leak Detection

作　　者：李天庆[1] 周闻博[1] 吴晓敏[2] 高海鹏[3] 宋平 LI Tianqing;ZHOU Wenbo;WU Xiaomin;GAO Haipeng;SONG Ping(a.Department of Medical Engineering;b.Department of Gastroenterolog;c.Hospital Offce,China-JapanFriendship Hospital,Beijing 100029,China;2.Beijing Huize Zhixin Technology Co.,Ltd.,Beijing 100000,China)

机构地区：[1]中日友好医院医学工程处,北京100029 [2]中日友好医院消化科,北京100029 [3]中日友好医院院办,北京100029 [4]北京惠泽智信科技有限公司,北京100000

出　　处：《中国医疗设备》2018年第9期165-167,177,共4页China Medical Devices

摘　　要：目的通过信息化手段规范管理消化内镜测漏,降低严重故障发生率、提高设备完好率、降低维修成本。方法对消化内科74条内镜2013至2016年的故障等级、原因和维修费用、时长进行分析,发现漏水和浸液是导致严重故障和一般故障的主要原因。通过加强规范测漏,研究严重故障和一般故障发生率的变化。结果规范测漏方案定型后3个月,内镜严重故障率明显下降,未发生严重的A级和C级故障,同比维修时长和费用明显下降。结论通过信息化手段对消化内镜开展可监管可追溯的测漏,可明显提高检测率和早期漏水的发现率。严重的漏水浸液等故障的减少,提高了内镜的完好率,从而提高了临床的诊疗效率,监管所取得的数据有着更广阔的开发利用空间。Objective In order to standardize the management of digestive endoscopy leak detection by means of informationization, so as to reduce the incidence of serious faults, improve the equipment integrity rate and reduce the maintenance cost. Methods The failure grade, cause, maintenance cost and duration of 74 endoscopes in the gastroenterology department from 2013 to 2016 were analyzed. As a result, the leakage and immersion were found to be the main causes of serious and general failures. Then the change of the incidence rate of serious and general faults was studied by strengthening the standard leak detection. Results Three months after the establishment of the standard leak detection scheme, the serious failure rate of the endoscope decreased significantly, and no serious grade A and grade C failures occurred. Meanwhile, the maintenance time and cost decreased significantly compared with the same period last year. Conclusion The detection rate and the detection rate of early water leakage can be improved obviously by means of informatization. The failure rate of the endoscope will be improved by reducing serious leakage and immersion. Therefore, the efficiency of clinical diagnosis and treatment has been improved, and the data obtained by the supervision has a wider development and utilization space.

关 键 词：消化内镜测漏 消化内镜规范化管理 消化内镜信息化管理 消化内镜故障 

分 类 号：R197.3[医药卫生—卫生事业管理]