基于结构-过程-结果模型的医疗设备内部质量评价体系研究  

Practice of internal quality evaluation system of medical device based on SPO model

作　　者：陈宏伟 仇玲 罗薇 刘宇春 Chen Hongwei;Qiu ling;Luo Wei;liu yuchun(Department of Neurology,Shenzhen Longhua District Central Hospital,Shenzhen 518110,China)

机构地区：[1]深圳市龙华区中心医院神经内科,深圳518110

出　　处：《中国医学装备》2025年第3期126-131,共6页China Medical Equipment

摘　　要：目的:基于结构-过程-结果(SPO)模型构建医疗设备内部质量评价体系,分析其在三级甲等医院神经内科病房设备质量管理中的应用效果。方法:医疗设备内部质量评价体系通过结构设计、平台管理和结果反馈实现对医疗设备的全方位管理。选取2022年5月至2024年4月深圳市龙华区中心医院神经内科病房在用的30台医疗设备,将2022年5月至2023年4月在用设备采用传统管理方法,2023年5月至2024年4月在用设备采用基于SPO模型的医疗设备内部质量评价体系管理(SPO模型管理方法),采用自制调查问卷评分方法调研35名设备使用管理人员的使用满意度,对比两种管理方法的设备运行质量、临床操作差错率和设备效益增幅。结果:采用SPO模型管理方法的30台设备执行率、消毒规范率、故障处理及时率和质量检测合格率均值分别为(94.15±4.63)%、(92.69±3.36)%、(93.65±4.36)%和(90.62±3.14)%,均高于传统管理方法,差异有统计学意义(t=14.218、14.582、11.813、14.859,P<0.05);采用SPO模型管理方法的30台设备错误使用、操作失误和人为错误分别发生1、1和2台,发生率分别为3.333%、3.333%和6.667%,均低于传统管理方法,差异有统计学意义(x^(2)=11.882、13.416、12.272,P<0.05);35名设备使用管理人员对采用SPO模型管理方法的设备使用便捷性、使用效果、应急使用情况和自动预警效能平均评分分别为(92.36±3.14)分、(93.21±4.36)分、(91.25±3.36)分和(94.23±4.36)分,均高于传统管理方法,差异有统计学意义(t=12.849、11.894、11.417、11.401,P<0.05);采用SPO模型管理方法的设备成本效益增幅和社会效益增幅均值分别为(4.36±0.96)%和(3.25±0.65)%,高于传统管理方法,而维修管理支出增幅均值为(1.56±0.69)%,低于传统管理方法,差异有统计学意义(t=11.754、14.438、16.320,P<0.05)。结论:基于SPO模型的医疗设备内部质量评价体系在医疗设备管理中应用,能够提�Objective:To construct an internal quality evaluation system based on the structure-process-outcome(SPO)model,and to analyze its applied effect in the quality management for equipment in the ward of neurology of third-level grade-A hospital.Methods:The internal quality evaluation system for medical equipment based on SPO model realized comprehensive management for medical equipment in the ward of neurology of third-level grade-A hospital through structural design,platform management and outcome feedback.Thirty using medical equipment in the wards of the neurology of Shenzhen Longhua District Central Hospital from May,2022 to April,2024 were selected.The equipment that were used from May,2022 to April,2023 were managed by using conventional management method,and the equipment that were used from May 2023 to April 2024 were managed by using internal quality evaluation system(SPO model management method)based on SPO model.A self-made questionnaire was adopted to investigate and research the satisfaction degree of 35 equipment-related managers,and the operating quality of equipment,error rate of clinical operation and increased degree of equipment benefit of the two management methods were compared.Results:The execution rate of equipment,standard rate of disinfection,timely rate of failure treatment and pass rate of quality detection of adopting SPO model management method were respectively(94.15±4.63)%,(92.69±3.36)%,(93.65±4.36)%and(90.62±3.14)%,which were higher all than these of conventional management method,and the differences of them between two methods were statistically significant(t=14.218,14.582,11.813,14.859,P<0.05).The occurrences of misuse,operation error and human error were respectively one,one and two equipment in 30 equipment by using SPO model management method,and the incidence rates of them were respectively 3.333%,3.333%and 6.667%,which were lower all than those of conventional management method,and the differences of them between two methods were statistically significant(x^(2)=11.882,13.416

关 键 词：结构-过程-结果(SPO)模型 三级甲等医院 医疗设备 质量评价 

分 类 号：R197.39[医药卫生—卫生事业管理]