基于价值驱动维修的神经内科医疗器械管理决策研究  

Research on management decision-making of neurology medical devices based on value-driven maintenance

作　　者：马莉 梁娜 张得兰 张春香 党香莉 MA Li;LIANG Na;ZHANG De-lan(General Internal Medicine,The 940 Hospital of PLA Joint Logistics Support Force,Lanzhou 730070,China;不详)

机构地区：[1]联勤保障部队第九四〇医院综合内科,甘肃兰州730070 [2]联勤保障部队第九四〇医院眼科,甘肃兰州730070

出　　处：《中国医学装备》2023年第12期155-160,共6页China Medical Equipment

摘　　要：目的:探讨价值驱动维修(VDM)方法在神经内科医疗器械管理决策中的应用价值。方法:基于VDM管理方法从资产利用、成本控制、可靠性工程、计划准备和维修实施5个维度制定医疗器械管理方法。选取2019年12月至2022年1月医院临床在用的394件神经内科医疗器械,按照管理模式不同,将其分为对照组(305件)和观察组(327件,含对照组中238件和新增加的89件),对照组采取传统模式进行管理,观察组采取VDM模式进行管理,比较两组的管理质量、技术保障质量、生产环节质量评分和供应质量合格率。结果:观察组器械年故障次数为(1.34±1.02)次,低于对照组,开机率、运行质量和维护保养满意度分别为(95.66±5.27)%、(90.18±5.18)%和(89.39±6.19)%,高于对照组,其差异有统计学意义(t=3.018,t=3.482,t=4.203,t=4.109;P<0.05);观察组器械维修时间、故障响应时间和管理费用增幅分别为(4.58±1.85)h、(2.57±1.10)h和(1.28±0.62)%,均高于对照组,其差异有统计学意义(t=4.983,t=3.498,t=3.101;P<0.05);观察组器械回收、包装、灭菌及无菌物品存放质量评分分别为(93.29±4.28)分、(94.18±3.19)分、(93.18±4.22)分和(95.14±3.37)分,均高于对照组,其差异有统计学意义(t=4.008,t=4.586,t=3.947,t=5.285;P<0.05);观察组器械回收、清洗、包装、消毒、灭菌、储存和运输供应质量合格率分别为96.45%(315/327)、97.22%(318/327)、98.19%(321/327)、95.49%(312/327)、100.0%(327/327)、99.69%(326/327)和98.96%(324/327),均高于对照组,其差异有统计学意义(χ^(2)=3.294,χ^(2)=3.925,χ^(2)=4.327,χ^(2)=3.198,χ^(2)=3.085,χ^(2)=3.048,χ^(2)=4.193;P<0.05)。结论:基于VDM的医疗器械管理决策模式在神经内科器械管理中应用,可进行维修活动效益评估,降低器械故障率和维修成本,提高各环节供应质量合格率,提升神经内科医疗器械临床服务水平。Objective:To explore the application value of value-driven maintenance(VDM)method in management decision-making of neurology medical devices.Methods:Based on the VDM management method,a medical device maintenance management method was developed from five dimensions of asset utilization,cost control,reliability engineering,plan preparation and maintenance implementation.394 neurology medical devices in clinical use in the hospital were selected and divided into a control group(305 items)and an observation group(327 items,including 238 items in the control group and 89 newly added items)according to different management models.The control group adopted the traditional model,and the observation group adopted the VDM model for management.The management quality,technical support quality,production link quality score and supply quality qualification rate were compared between the two groups.Results:The number of device failures in the observation group was(1.34±1.02)times/year,which was lower than that in the control group;the startup rate,operation quality satisfaction and maintenance satisfaction were(95.66±5.27)%,(90.18±5.18)%and(89.39±6.19)%,respectively,which were higher than those in the control group,the difference was statistically significant(t=3.018,t=3.482,t=4.203,t=4.109;P<0.05).The increase in device maintenance time,failure response time and management cost in the observation group were(4.58±1.85)hours,(2.57±1.10)hours and(1.28±0.62)%respectively,which were higher than those in the control group,the difference was statistically significant(t=4.983,t=3.498,t=3.101;P<0.05).The quality scores of instrument recovery,packaging,sterilization and storage of sterile items in the observation group were(93.29±4.28)points,(94.18±3.19)points,(93.18±4.22)points and(95.14±3.37)points,respectively,which were higher than those in the control group,the difference was statistically significant(t=4.008,t=4.586,t=3.947,t=5.285;P<0.05).The quality qualification rates of instrument recovery,cleaning,packaging,disinf

关 键 词：价值驱动维修(VDM) 资产利用率 管理成本 资源配置 

分 类 号：R197.39[医药卫生—卫生事业管理]