基于质量控制追溯管理模型的烧伤整形科医疗设备管理研究  

Research on the management of medical equipment in the department of burn and plastic surgery based on the traceability management model of quality control

作　　者：苏敏 康文雯 郑婉君 袁亚翠 吴博 苏宁 董毓敏 Su Min;Kang Wenwen;Zheng Wanjun;Yuan Yacui;Wu Bo;Su Ning;Dong Yumin(Department of Burn and Plastic Surgery,Second Affiliated Hospital,Air Force Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院烧伤整形外科,西安710038

出　　处：《中国医学装备》2024年第12期143-147,共5页China Medical Equipment

摘　　要：目的:探讨质量控制追溯管理模型在烧伤整形科医疗设备管理中的应用效果。方法:采用软件即服务(SAAS)模式架构,设置数据层、应用层、数据库操作抽象层和客户端层,梳理质量控制追溯的关键追溯点,构建质量控制追溯管理模型,选取2021年11月至2023年10月空军军医大学第二附属医院烧伤整形科临床在用的50台常用医疗设备,将2021年11月至2022年10月期间的设备使用管理采用传统管理方法(传统管理),2022年11月至2023年10月期间的设备使用管理采用质量控制追溯管理模型(质量追溯管理)对设备进行管理。采用自制调查量表调查60名参与设备使用管理人员对设备使用、维修和保养的满意度,对比两种管理方法的设备清洗消毒管理质量评分和设备管理缺陷评估评分。结果:采用质量追溯管理方法的设备清洗质量、灭菌质量、包装质量和发放质量评分分别为(95.51±3.34)、(96.82±4.08)、(95.37±3.64)和(97.29±3.22)分,均高于传统管理方法,差异有统计学意义(t=12.024、9.549、12.156、14.414,P<0.05);采用质量追溯管理方法的设备未按时发放、设备维修和保养超出规定时长、设备性能降低等缺陷评分分别为(0.34±0.01)、(0.12±0.04)和(0.46±0.14)分,均低于传统管理方法,差异有统计学意义(t=14.638、13.889、16.968,P<0.05);60名参与设备使用管理人员对采用质量追溯管理方法的满意率为98.33%(59/60),高于传统管理方法,差异有统计学意义(χ^(2)=5.886,P<0.05)。结论:质量控制追溯管理模型应用于烧伤整形科医疗设备管理,能够提高设备使用效率和操作人员满意度,提升设备管理质量。Objective:To explore application effect of traceability management model of a quality control in the management of medical equipment in the department of burns and plastic surgery.Methods:The model architecture of software as a service(SAAS)was adopted,and the data layer,application layer,database operation abstraction layer,and client layer were established.The key traceability points for quality control were analyzed,and the traceability management model of quality control was constructed.A total of 50 commonly used medical equipment in clinical use in the department of burns and plastic surgery at the Second Affiliated Hospital of Air Force Medical University from November 2021 to October 2023 were selected.Equipment use management from November 2021 to October 2022 was conducted using the conventional management method(conventional management).Equipment use management from November 2022 to October 2023 was conducted using the traceability management model of quality control(quality traceability management).A self-made questionnaire was used to investigate the satisfaction of 60 personnel involved in the use,repair,and maintenance of equipment.The quality scores for equipment cleaning and disinfection management,and the evaluation scores for equipment management defects were compared between the two management methods.Results:The scores of equipment cleaning quality,sterilization quality,packaging quality and distribution quality of using the traceability management method of quality were(95.51±3.34),(96.82±4.08),(95.37±3.64)and(97.29±3.22),respectively,all of which were higher than those of the conventional management method,and the differences were statistically significant(t=12.024,9.549,12.156,14.414,P<0.05),respectively.The defect scores of the equipment using the traceability management method of quality were(0.34±0.01)points,(0.12±0.04)points and(0.46±0.14)points,respectively,which were lower than those of the conventional management method,and he differences were statistically significant(t=14.6

关 键 词：质量控制追溯管理模型 烧伤整形 医疗设备 质量管理 

分 类 号：R197.39[医药卫生—卫生事业管理]