基于云模型与改进证据理论的手术室设备管理效率评价  

Evaluation of operating room equipment management efficiency based on cloud model and improved evidence theory

作　　者：卞红莲 王荣娣 陈颂[2] 江美芳 Bian Honglian;Wang Rongdi;Chen Song;Jiang Meifang(Operating Room,Huangshan Shoukang Hospital,Huangshan 245000,China;Department of Medical Engineering,Huangshan Shoukang Hospital,Huangshan 245000,China)

机构地区：[1]黄山首康医院手术室,黄山245000 [2]黄山首康医院医学工程部,黄山245000

出　　处：《中国医学装备》2024年第8期132-136,共5页China Medical Equipment

摘　　要：目的:构建手术室设备云模型与改进证据理论管理模式,提升手术室设备管理效率。方法:构建手术室设备使用效率评价指标体系,采用基于云模型与改进证据理论优选方法对手术室设备进行评估管理。选取2022年10月至2023年10月黄山首康医院手术室在用的40台手术室仪器设备,按照管理模式不同分别采用常规管理模式和云模型与改进证据理论管理模式(简称改进证据模式)进行管理,每种模式20台。对比两种管理模式的设备管理及时性、设备管理缺陷率和设备成本效益增幅的差异。结果:采用改进证据模式的手术室设备故障预警时长、工程师维修时长和设备信息推送时长分别为(2.36±0.11)s、(4.25±1.25)d和(0.89±0.11)min,均少于常规管理模式,差异有统计学意义(t=12.439、9.209、8.686,P<0.05)。采用改进证据模式的手术室设备分装错误、设备损坏和设备维修比率分别为5%(1/20)、5%(1/20)和10%(2/20),均低于常规管理模式,差异有统计学意义(χ^(2)=7.025、8.533、7.619,P<0.05)。采用改进证据模式的手术室设备运行收益、保障费用、诊治收费和科研费用增幅分别为(3.36±0.35)%、(4.25±0.87)%、(4.25±0.56)%和(4.11±0.56)%,均高于常规管理模式,差异有统计学意义(t=10.759、8.906、10.301、12.361,P<0.05)。结论:云模型与改进证据理论管理模式在医院手术室设备管理中应用,能够实现手术室设备的集中维护和管理,提高手术室设备管理效率,提升设备应用成本效益,降低设备使用风险。Objective:To construct an operating room equipment cloud model and improve the evidence theory management model,and to improve the efficiency of operating room equipment management.Methods:The evaluation index system of operating room equipment using efficiency was constructed,and the evaluation and management of operating room equipment was carried out based on the cloud model and the optimization method of improved evidence theory.A total of 40 operating room instruments and equipment in clinical use in Huangshan Shoukang Hospital from October 2022 to October 2023 were selected and managed using the conventional management model and the cloud model and improved evidence theory management model(referred to as the improved evidence model)according to different management modes,with 20 units in each mode.The differences in the timeliness of equipment management,the defect rate of equipment management,and the increase in cost-effectiveness of equipment between the two management modes were compared.Results:The operating room equipment failure warning time,engineer maintenance time and equipment information push time using the improved evidence mode were(2.36±0.11)s,(4.25±1.25)d and(0.89±0.11)min,respectively,which were less than those of the conventional management mode,the difference was statistically significant(t=12.439,9.209,8.686,P<0.05).The proportions of equipment repacking error,equipment damage and equipment maintenance in operating room using improved evidence mode were 5%(1/20),5%(1/20)and 10%(2/20),respectively,which were lower than those of the conventional management mode,the difference was statistically significant(χ^(2)=7.025,8.533,7.619,P<0.05).The operating benefit,support cost,diagnosis and treatment fee and scientific research cost of operating room equipment using the improved evidence mode increased by(3.36±0.35)%,(4.25±0.87)%,(4.25±0.56)%and(4.11±0.56)%,respectively,which were higher than those of the conventional management mode,the difference was statistically significant(t=10.759,8

关 键 词：云模型 改进证据理论 手术室设备 管理效率 

分 类 号：R197.39[医药卫生—卫生事业管理]