医疗设备安全管理维度评价模型在介入手术室抢救设备安全管理中的价值分析  

Value analysis of dimensional evaluation model in safety management of rescue equipment for critically ill patients in interventional operating room

作　　者：陈宏伟 高莉梅 阳玉芳 傅敏 CHEN Hong-wei;GAO Li-mei;YANG Yu-fang(Interventional Treatment Department,Shenzhen Longhua District Central Hospital,Shenzhen 518110,China;不详)

机构地区：[1]深圳市龙华区中心医院介入诊疗科,广东深圳518110 [2]深圳市龙华区中心医院护理部,广东深圳518110

出　　处：《中国医学装备》2023年第6期122-126,共5页China Medical Equipment

摘　　要：目的:探讨设备安全管理维度评价模型在危重患者抢救设备管理中的应用价值。方法:分析介入手术室危重患者抢救设备安全管理问题,从临床需求、安全性和制度保障维度进行管理目标细化,选定评价指标和管理阈值,设计医疗设备安全管理维度评价模型。选取医院介入手术室常规配置的14台危重患者抢救设备,根据管理模式不同,将其分为对照组(11台)和观察组(12台,包括对照组中9台和新增加的3台),对照组采用经验评价模型进行设备安全管理,观察组采用维度评价模型进行管理,对比两组设备安全问题控制、服务质量提升和管理制度保障的效果。结果:观察组设备点检到位率和主动管理率分别为(95.52±2.46)%和(17.74±4.56)%,均高于对照组,故障发生频次和安全隐患数分别为(1.50±0.91)次和(3.18±2.21)例,均低于对照组,其差异有统计学意义(t=3.629,t=5.643,t=4.369,t=2.624;P<0.05);观察组设备配置需求一致率、性能参数达标率、质量检测稳定度和清洗消毒合格率分别为(95.62±3.11)%、(96.58±2.35)%、(93.96±3.35)%和(98.43±1.42)%,均高于对照组,其差异有统计学意义(t=2.897,t=3.391,t=3.772,t=5.431;P<0.05);患者、医护人员及医学工程师对观察组设备管理保障能力的认可度分别为(91.80±4.18)%、(93.44±3.10)%和(89.35±2.98)%,均高于对照组,其差异有统计学意义(t=3.463,t=2.882,t=5.660;P<0.05)。结论:医疗设备安全管理维度评价模型能够提高介入手术室危重患者抢救设备安全问题的控制水平,改善设备临床配置效果和人员管理服务质量。Objective:To explore the application value of equipment safety management dimension evaluation model in the management of rescue equipment for critical patients.Methods:The safety management of critical patient rescue equipment in interventional operating room was analyzed,and the management objectives were refined from the dimensions of clinical needs,safety and system guarantee,and the evaluation indexes and management thresholds were selected to design the dimension evaluation model.14 rescue equipment for critically ill patients routinely equipped in the interventional operating room of the hospital were selected and divided into control group(11 sets)and observation group(12 sets,including 9 sets in the control group and 3 newly added sets)according to different management modes.The control group adopted the empirical evaluation model for equipment safety management,and the observation group was managed by the dimension evaluation model.The effects of equipment safety problem control,service quality improvement and management system guarantee were compared between the two groups.Results:The spot inspection rate and active management rate of the equipment in the observation group were(95.52±2.46)%and(17.74±4.56)%,respectively,which were higher than those in the control group;the frequency of failure and potential safety hazards of the observation group were(1.50±0.91)times and(3.18±2.21)cases,respectively,which were lower than those of the control group,the difference between groups was statistically significant(t=3.629,t=5.643,t=4.369,t=2.624;P<0.05).The consistency rate of equipment allocation requirements,performance parameters compliance rate,the stability of quality inspection and the qualification rate of cleaning and disinfection in the observation group were(95.62±3.11)%,(96.58±2.35)%,(93.96±3.35)%,(98.43±1.42)%,respectively,which were higher than those in the control group,and the difference between groups was statistically significant(t=2.897,t=3.391,t=3.772,t=5.431;P<0.05).The recognition o

关 键 词：维度评价 介入手术室 危重患者抢救设备 安全管理 风险控制 

分 类 号：R197.39[医药卫生—卫生事业管理]