基于熵权法和灰色关联分析法构建医院康复医学设备安全风险管理模型研究  

Construction of a safety risk management model for rehabilitation equipment of hospital based on entropy weight method and grey correlation analysis

作　　者：缪欢 聂思建 王可寿 王媛媛[1] Miao Huan;Nie Sijian;Wang Keshou;Wang Yuanyuan(Clinical Medical Engineering Department,Lishui Branch of Zhongda Hospital Southeast University,Nanjing 211200,China;Procurement Center,Lishui Branch of Zhongda Hospital Southeast University,Nanjing 211200,China)

机构地区：[1]东南大学附属中大医院溧水分院临床医学工程部,南京211200 [2]东南大学附属中大医院溧水分院采购中心,南京211200

出　　处：《中国医学装备》2024年第12期125-130,142,共7页China Medical Equipment

摘　　要：目的:构建医院康复医学设备安全风险管理模型,提升康复医学设备管理的规范性和使用效率。方法:基于人员因素、设备因素、环境因素和管理因素建立康复设备安全风险因素指标体系,基于熵权法(EWM)和灰色关联分析(GRA)法构建医院康复设备安全风险管理模型,对医院康复设备进行科学管理。选取2022年至2023年东南大学附属中大医院溧水分院临床在用的18台康复设备,将2022年期间使用的康复设备采用常规设备管理方法,2023年期间使用的设备采用基于EWMGRA的医院康复设备安全风险管理模型管理(简称模型管理)方法。比较两种管理方法的康复设备使用效能、质量控制效能、维护效能和维修效能评分的差异。结果:采用模型管理方法的康复设备使用效能、质量控制效能、维护效能和维修效能评分分别为(94.86±3.84)、(81.87±5.24)、(77.85±5.96)和(80.36±3.45)分,均高于常规管理方法,差异有统计学意义(t=57.522、45.820、19.284、22.511,P<0.05)。结论:基于EWM-GRA的医院康复设备安全风险管理模式在康复设备管理中应用,能够减少设备维修次数,提升设备运行质量,提高设备使用效率。Objective:To construct a safety risk management model for rehabilitation equipment of hospital,in order to improve the standardization and efficiency of rehabilitation equipment management.Methods:Based on the entropy weight method(EWM)and grey relational analysis(GRA),a safety risk management model for rehabilitation equipment of hospital from the aspects of personnel factors,equipment factors,environmental factors,and management factors was established.A total of 18 rehabilitation equipment,which were used in clinically practice at the Lishui Branch of Zhongda Hospital Southeast University from 2022 to 2023,were selected.The rehabilitation equipment management in 2022 adopted the conventional equipment management process,while the equipment management in 2023 adopted the risk management theory based on the EWM-GRA safety risk management model for rehabilitation equipment(model management in brief)of hospital.The differences in the efficiency of usage,quality control,maintenance,and repair scores of rehabilitation equipment between the two management methods were compared.Results:The scores for the efficiencies of usage,quality control,maintenance,and repair management of rehabilitation equipment by using model management were(94.86±3.84)points,(81.87±5.24)points,(77.85±5.96)points,and(80.36±3.45)points,respectively,all of which were higher than those of conventional management methods,and the differences were statistically significant(t=57.522,45.82,19.284,22.511,P<0.05),respectively.Conclusion:The risk management model based on EWM-GRA for rehabilitation equipment management of hospital can reduce the frequency of equipment maintenance,improve the quality of equipment operation,and enhance the efficiency of equipment utilization when these equipment were applied in rehabilitation equipment management.

关 键 词：康复医学设备 管理路径 安全风险因素 熵权法 灰色关联分析 

分 类 号：R197.39[医药卫生—卫生事业管理]