精细化集中管理联合科学预防性维护在临床呼吸机规范化管理中的价值研究  

Research on the value of refined centralized management combined with scientific preventive maintenance in the standardized management of clinical ventilators

作　　者：顾春红 马晓慧[1] 贾慧英[1] 马军[1] Gu Chunhong;Ma Xiaohui;Jia Huiying;Ma Jun(Respiratory and Critical Care Medicine Center,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830002,China)

机构地区：[1]新疆维吾尔自治区人民医院呼吸与危重症医学中心,乌鲁木齐830000

出　　处：《中国医学装备》2024年第2期138-142,共5页China Medical Equipment

基　　金：新疆维吾尔自治区人民医院院级项目(20220139)。

摘　　要：目的:研究精细化集中管理联合科学预防性维护在临床呼吸机规范化管理中的应用价值。方法:收集医院在用呼吸机故障情况,建立呼吸机信息化管理数据库,从计划、实施、更新呼吸机管理系统和培训与考核方面制定呼吸机精细化集中管理与科学预防性维护措施。选取2021-2022年新疆维吾尔自治区人民医院临床在用的119台呼吸机,采用常规管理模式(50台)和精细化集中管理联合科学预防性维护模式(简称联合管理模式,69台)进行管理,对比两种管理模式呼吸机的维修情况及2021年和2022年的运行工作总量。结果:常规管理模式下,2021年呼吸机故障85次,2022年故障58次;联合管理模式下,2021年故障34次,2022年故障44次。2021年联合管理模式下,呼吸机的故障次数、维修时间和临床科室使用满意度分别为(3.25±1.06)次/月、(12.57±10.31)d和(91.50±1.73)%,故障次数和维修时间少于常规管理模式,临床科室使用满意度高于常规模式,其差异有统计学意义(t=14.458、2.501、2.563,P<0.05);2022年联合模式呼吸机的故障次数为(3.08±2.02)次/月,少于常规管理模式,差异有统计学意义(t=4.655,P<0.05)。两种管理模式下119台呼吸机2021年故障次数、报修设备科次数、维修费用、不良事件、终末消毒次数分别为(10.25±2.34)次/月、(16.75±6.54)次/月、(4.40±4.93)万元/月、(2.49±0.92)件/月和(382.58±83.67)次/月,均高于2022年,设备完好率和临床培训次数分别为(88.27±1.29)%和(3.42±1.51)次/月,均低于2022年,其差异有统计学意义(t=5.124、6.103、4.099、7.884、1.980、5.607、3.564,P<0.05)。结论:精细化集中管理联合科学预防性维护可有效减少呼吸机的故障次数和维修时间及费用等,提高临床呼吸机规范化管理质量。Objective:To study the application value of refined centralized management combined with scientific preventive maintenance in the standardized management of clinical ventilators.Methods:The ventilator failure information wad collected,a ventilator information management database was established,the refined and centralized management and scientific preventive maintenance measures for ventilators was developed in terms of planning,implementing,and updating the ventilator management system as well as training and assessment.119 ventilators in clinical use in People's Hospital of the Xinjiang Uygur Autonomous Region from 2021 to 2022 were selected,the conventional management mode(referred to as conventional mode,50 units)and the refined centralized management combined with scientific preventive maintenance mode(referred to as joint mode,69 units)were adopted respectively for management.The maintenance status of ventilators in the two modes and the total amount of work in 2021 and 2022 were compared.Results:There were 85 ventilator failures in 2021 and 58 ventilator failures in 2022 in conventional mode.34 ventilator failures in 2021 and 44 ventilator failures in 2022 in joint mode.The number of failures,maintenance time and satisfaction of clinical department with the ventilators of the joint mode in 2021 were(3.25±1.06)times/month,(12.57±10.31)days and(91.50±1.73)%respectively,the number of failures and maintenance time were less than those of conventional mode,satisfaction of clinical department was higher than that of the conventional mode,the difference was statistically significant(t=14.458,2.501,2.563,P<0.05).The number of failures of ventilators of joint mode in 2022 was(3.08±2.02)times/month,which was less than that of conventional mode,the difference was statistically significant(t=4.655,P<0.05).The number of failures,number of times to contact the equipment department,consumable costs,adverse events,and number of terminal disinfections for 119 ventilators of the two modes in 2021 were(10.25±2.34)times/

关 键 词：精细化集中管理 科学预防性维护 呼吸机 故障 维修费用 

分 类 号：R197.39[医药卫生—卫生事业管理]