基于三维质量评价模型的呼吸机管理路径研究  

Research on ventilator management pathway based on three-dimensional quality evaluation model

作　　者：马永胜 徐可伟 蔡霖 郭健 杨亮生 周宏 Ma Yongsheng;Xu Kewei;Cai Lin;Guo Jian;Yang Liangsheng;Zhou Hong(Department of Medical Engineering,General Hospital of Western Theater Command of the PLA,Chengdu 610083,China;Department of Respiratory and Critical Care Medicine,General Hospital of Western Theater Command of the PLA,Chengdu 610083,China)

机构地区：[1]中国人民解放军西部战区总医院医学工程科,成都610083 [2]中国人民解放军西部战区总医院呼吸与危重症医学科,成都610083

出　　处：《中国医学装备》2024年第12期148-153,共6页China Medical Equipment

摘　　要：目的:探讨基于结构-过程-结果三维质量评价模型的呼吸机管理路径在呼吸机管理中的应用价值。方法:基于结构-过程-结果三维质量评价模型(三维质量评价模型)制定呼吸机管理路径和评价指标体系,采用服务质量算法进行服务质量综合评价,制定呼吸机设备服务管理的结构优化、过程强化和结果导向措施。选取2023年1月至6月西部战区总医院临床在用的62台呼吸机设备,将1月至3月期间使用的50台呼吸机采用传统经验管理模式(经验管理模式),4月至6月期间使用的50台(含经验管理模式在用的38台)呼吸机采用基于三维质量评价模型的呼吸机管理路径进行管理(模型管理模式),自制满意度调研问卷调研呼吸机治疗患者对设备服务质量的满意程度,对比两种管理模式的设备服务质量综合评价差异评分及设备运行质量。结果:采用模型管理模式的设备结构服务质量、过程服务质量和结果服务质量的综合评价差异评分分别为(0.08±0.06)、(0.11±0.07)和(0.05±0.04)分,均低于经验管理模式,差异有统计学意义(Z=2.290、2.024、2.724,P<0.05);呼吸与危重症医学科、重症医学科、急诊科及其他科室重症监护室(ICU)病区的患者呼吸机治疗平均满意率分别为(95.66±1.74)%、(96.51±1.37)%、(95.93±1.67)%和(96.56±1.28)%,均高于经验管理模式,差异有统计学意义(Z=3.624、3.854、3.368、2.799,P<0.05);呼吸机设备平均开机运转率和质量检测通过率分别为(95.38±1.67)%和(95.44±1.71)%,高于经验管理模式,平均故障发生率为(1.23±0.98)%,低于经验管理模式,差异有统计学意义(Z=2.219、2.733、3.005,P<0.05)。结论:基于三维质量评价模型的呼吸机管理路径应用,能够改善呼吸机临床服务质量,提升临床服务满意度,提高设备运行质量。Objective:To explore the application value of ventilator management path based on three-dimensional quality evaluation model in ventilator management.Methods:Based on the structure-process-outcome model(referred to as the three-dimensional quality evaluation model),the evaluation index system of ventilator service management was developed.The service quality algorithm was used to conduct comprehensive evaluation of service quality,and the structural optimization,process strengthening and outcome-oriented measures of ventilator equipment service management were developed.A total of 62 ventilators in clinical use in General Hospital of the Western Theater Command of the PLA from January to June 2023 were selected,and the 50 ventilators used from January to March adopted the conventional experience management model(referred to as experience management model),the 50 ventilators(including 38 in use in the experience management model)from April to June adopted the ventilator management path based on three-dimensional quality evaluation model(referred to as the model management model).The self-made satisfaction questionnaire was used to investigate the satisfaction of ventilator patients with equipment service quality,and the comprehensive evaluation difference score of equipment service quality and equipment operation quality of the two management modes were compared.Results:The comprehensive evaluation difference scores of equipment structure service quality,process service quality and outcome service quality of the model management mode were(0.08±0.06)points,(0.11±0.07)points and(0.05±0.04)points,respectively,which were lower than those of the experience management mode,the difference was statistically significant(Z=2.290,2.024,2.724,P<0.05).The average satisfaction of patients on ventilator therapy in the ICU wards of the department of respiratory and critical care medicine,department of intensive care unit,department of emergency and other departments was(95.66±1.74)%,(96.51±1.37)%,(95.93±1.67)%and(96.56±1.2

关 键 词：三维质量评价模型 运行质量 综合评价 熵权法 呼吸机 

分 类 号：R197.39[医药卫生—卫生事业管理]