机构地区:[1]中国人民解放军联勤保障部队第九四〇医院综合内科,兰州730070
出 处:《中国医学装备》2025年第1期120-125,共6页China Medical Equipment
摘 要:目的:分析基于设备安全性、可靠性、有效性、可用性和经济性五维质量管理模型的高压氧舱管理系统在高压氧舱设备管理中的应用效果。方法:基于五维质量管理模型架构高压氧舱管理系统,构建评估指标体系,实施准备模式、思考模式、沟通模式、行动模式和回顾模式的五维成熟度质量控制评价,对高压氧舱设备进行全过程化管理。选取2022年至2023年联勤保障部队第九四〇医院现用的1台高压氧舱设备,将2022年1月至10月期间的设备使用采用常规管理方法进行管理,2023年1月至10月期间的设备使用应用基于五维质量管理模型的高压氧舱管理系统进行管理(模型管理),抽取高压氧舱设备的400份运行日志,每种方法200份,对比两种管理方法的设备管理及时性评分、相关设备使用和维护人员管理满意度评分和设备管理效果。结果:采用模型管理的高压氧舱设备配比度及时性、设备合理配置及时性、设备规范整理及时性和设备维护及时性平均评分分别为(9.26±1.21)、(9.12±0.98)、(9.26±1.36)和(9.36±2.03)分,均高于常规管理方法,差异有统计学意义(t=16.107、15.481、18.671、6.971,P<0.05);设备操作人员、运行维护人员和设备工程师对采用模型管理方法的满意度平均评分分别为(93.62±4.63)、(92.69±4.33)和(95.33±4.36)分,均高于常规管理方法,差异有统计学意义(t=17.711、10.082、10.197,P<0.05);采用模型管理方法的200份日志中,档案完整和设备良好运行占比分别为95.0%和94.0%,高于常规管理方法,而操作不规范和设备运行异常情况占比分别为1.0%和1.5%,低于常规管理方法,差异有统计学意义(χ^(2)=14.709、12.754、11.402、11.308,P<0.05)。结论:基于五维质量管理模型的高压氧舱管理系统在高压氧舱设备管理中应用,能够最大程度提高高压氧舱设备运行效率,有效提高设备管理质量和效果,提升相关人员操作满意�Objective:To analyze the application effect of hyperbaric oxygen chamber management system based on five-dimensional quality management model included safety,reliability,effectiveness,availability and economy of equipment in management for the equipment of hyperbaric oxygen chamber management.Methods:The hyperbaric oxygen chamber management system was built on the basis of five-dimensional quality management model,and an assessment indicator system was constructed to perform quality control evaluation with five-dimensional maturities included preparation mode,thinking mode,communication mode,action mode and review mode.Then,a whole process management was conducted for the equipment of hyperbaric oxygen chamber.A hyperbaric th oxygen chamber that was used during 2022 and 2023 in The 940 Hospital of People's Liberation Army Joint Service Support Force was selected,and the conventional management was used to manage the equipment during January and October 2022,and the hyperbaric oxygen chamber management system based on five-dimensional quality management model(model management)was used to manage the equipment during January and October 2023.A total of 400 operation logs of hyperbaric oxygen chamber equipment were selected,which included 200 logs of each mode,and the timeliness score,the satisfaction score of relevant personnel and the effect of equipment management between the two models were compared.Results:The timeliness scores of matching ratio of equipment,reasonable configuration of equipment,standard arrangement of equipment and equipment maintenance of model management were respectively(9.26±1.21)points,(9.12±0.98)points,(9.26±1.36)points and(9.36±2.03)points for hyperbaric oxygen chamber,which were higher than those of conventional management,and the differences were statistically significant(t=16.107,15.481,18.671,6.971,P<0.05).The satisfaction scores of operators,operation and maintenance personnel and engineers of equipment of model management were respectively(93.62±4.63)points,(92.69±4.33)points
关 键 词:五维质量管理模型 高压氧舱 运行效率 效果分析 失效模式与影响分析(FMEA)
分 类 号:R197.39[医药卫生—卫生事业管理]
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