信息化医疗设备维修管理数据的安全治理路径与对策研究  

Research on the security governance path and countermeasure of information-based medical equipment maintenance management data

作　　者：黄少东 吴毅 刘剑锋 廖阔 严泽钊 陈汝林 周伟峰 Huang Shaodong;Wu Yi;Liu Jianfeng;Liao Kuo;Yan Zezhao;Chen Rulin;Zhou Weifeng(Department of Medical Equipment,The Sixth Affiliated Hospital of South China University of Technology(Foshan Nanhai District People's Hospital),Foshan 528000,China;Hospital Office,The Sixth Affiliated Hospital of South China University of Technology(Foshan Nanhai District People's Hospital),Foshan 528000,China;Information Department,The Sixth Affiliated Hospital of South China University of Technology(Foshan Nanhai District People's Hospital)Foshan 528000,China)

机构地区：[1]华南理工大学附属第六医院(佛山市南海区人民医院)医学装备科,佛山528000 [2]华南理工大学附属第六医院(佛山市南海区人民医院)院办,佛山528000 [3]华南理工大学附属第六医院(佛山市南海区人民医院)信息科,佛山528000

出　　处：《中国医学装备》2024年第12期154-160,共7页China Medical Equipment

摘　　要：目的:研究信息化医疗设备维修管理数据安全治理路径与对策的临床应用价值。方法:采用用户-服务-内外环境(US2C)模型对医疗设备维修管理数据治理指标进行划分,通过模糊集定性比较分析(fsQCA)方法分析用户、服务、内部环境、外部环境的条件因素评估治理能力、治理效果和治理效率指标的前因要素必要性和组合条件的覆盖率,制定安全性、数据量和制度规范性的安全治理管理路径。选取2020年至2023年华南理工大学附属第六医院(佛山市南海区人民医院)临床在用的285台医疗设备维修管理数据,将2020年至2021年期间的256台设备维修管理数据采用常规管理模式,2022年至2023年期间的268台(含常规管理在用的239台)设备维修管理数据采用安全治理模式。采用自制调研问卷方式对参与设备使用的120名护技人员进行维修管理数据量是否满足实际需要调研,对比两种管理模式医疗设备维修管理数据的安全性、使用频次和设备运行质量。结果:采用安全治理模式的医疗设备维修管理数据平均风险率为(1.333±0.741)%,低于常规管理模式(t=3.672,P<0.05),平均准确率和时效性分别为(93.925±3.432)%和(88.500±4.404)%,高于常规管理模式,差异有统计学意义(t=2.298、4.784,P<0.05)。参与设备使用的120名人员对采用安全治理模式的医疗设备维修管理数据满意率均值为(94.367±3.093)%,高于常规管理模式,差异有统计学意义(t=4.365,P<0.05)。采用安全治理模式的医疗设备故障数据、维修事项数据和管理投入数据使用频次分别为(4.092±1.709)、(4.341±1.397)和(3.821±0.976)次/年,高于常规管理模式,差异有统计学意义(t=2.101、4.400、6.386,P<0.05)。采用安全治理模式的医用电子设备、生命支持设备、手术室设备、医学检验设备及其他医疗设备的故障频次分别为(0.831±0.335)、(0.927±0.293)、(1.085±0.439)、(0.702±0.047)和(1.456±0.4Objective:To study the clinical application value of the data security governance path and countermeasures of information-based medical equipment maintenance management.Methods:The User Service Two Context(US2C)model was used to divide data governance indicators of medical equipment maintenance management,and the indicators of governance capability,governance effect and governance efficiency were evaluated from the conditional factors of users,services,internal environment and external environment,the necessity of antecedent factors and the coverage rate of combination conditions were analyzed by fuzzy set qualitative comparative analysis(fsQCA),and the security governance management path of security,data volume and system standardization was developed.The maintenance management data of 285 sets of medical equipment in clinical use in The Sixth Affiliated Hospital of South China University of Technology(Foshan Nanhai District People's Hospital)from 2020 to 2023 were selected,and the maintenance management data of 256 sets of equipment in the period from 2020 to 2021 adopted conventional management mode,and the maintenance management data of 268 sets(including 239 sets in use in conventional management)of medical equipment during 2022-2023 adopted the security governance model.A selfmade questionnaire was used to investigate whether the amount of maintenance management data met the actual needs of 120 participants who used the equipment.The security,frequency of use and operation quality of medical equipment maintenance management data of the two management modes were compared.Results:The average risk rate of medical equipment maintenance management data using security governance mode was(1.333±0.741)%,which was lower than that of conventional management mode,the average accuracy and effectiveness were(93.925±3.432)%and(88.500±4.404)%,respectively,Which were higher those of the conventional management mode,the differences was statistically significant(t=2.298,4.784,P<0.05).The average satisfaction rate of the 1

关 键 词：医疗设备维修 安全治理 内部环境 外部环境 定性比较分析 

分 类 号：R197.39[医药卫生—卫生事业管理]