基于动态规划算法的医疗器械评估模型构建及管理效果研究  

Construction of assessment model on the basis of dynamic programming algorithm for medical device and its management effect

作　　者：李翠娟[1] 钟珊珊[1] 陈明[2] 祁增凌[1] Li Cuijuan;Zhong Shanshan;Chen Ming;Qi Zengling(Department of Equipment,Zhongshan City People's Hospital,Zhongshan 528400,China;Department of Health Service,Zhongshan City People's Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院设备科,中山528400 [2]中山市人民医院健康服务部,中山528400

出　　处：《中国医学装备》2025年第4期100-104,116,共6页China Medical Equipment

摘　　要：目的:构建基于动态规划算法的医疗器械评估模型,提高医疗器械管理水平。方法:基于动态规划算法预设、基本思路、求解步骤和算法要素构建医疗器械评估模型,根据模型多阶段决策问题时的状态转移开展医疗器械管理。选取2022年1月至2023年12月中山市人民医院临床在用的200台医疗器械,2022年1月至12月采用常规管理方法进行医疗器械管理,2023年1月至12月采用动态规划算法的医疗器械评估模型(简称动态规划算法)方法进行医疗器械管理,对比动态规划算法应用前后医疗器械管理水平和管理指标评分,不良事件中的低风险、中风险和高风险发生率,以及管理团队综合业务能力考核评分的差异。结果:动态规划算法应用后200台医疗器械规范放置率、规范记录率和设备完好率分别为85.5%、84.0%和84.5%,均高于应用前,设备故障率为2.5%,低于应用前,差异均有统计学意义(x^(2)=13.888、12.516、14.240、14.414,P<0.05);动态规划算法应用后资源配置、信息基础、技术支撑和环境保障评分分别为(92.54±4.69)、(93.65±3.65)、(94.58±3.65)和(92.47±3.65)分,均高于应用前,差异有统计学意义(t=14.574、18.419、11.438、12.981,P<0.05);动态规划算法应用后200台医疗器械不良事件中的低风险、中风险和高风险不良事件占比分别为6%、5%和2%,均低于应用前,差异有统计学意义(x^(2)=12.754、12.876、11.348,P<0.05);医疗器械技术保障团队、研究团队、推广团队和辅助管理团队对动态规划算法应用后的综合业务能力评分分别为(94.56±4.69)、(92.65±3.14)、(94.69±4.98)和(95.68±4.14)分,均高于应用前,差异有统计学意义(t=12.170、18.682、12.449、18.269,P<0.05)。结论:基于动态规划算法的医疗器械评估模型在医疗器械管理中应用,能够提高器械管理水平,降低不良事件发生率,提高器械管理团队综合业务能力水平。Objective:To construct an assessment model on the basis of dynamic programming algorithm for medical device,so as to improve the management level for medical devices.Methods:A assessment model for medical device was constructed on the basis of the presupposition,basic ideas,solution steps and algorithm elements of dynamic programming algorithm,and the management of medical devices was transferred and carried out according to the state of the model at the multi-stage when decided problem.A total of 200 used medical devices in clinical application in Zhongshan City People's Hospital from January 2022 to December 2023 were selected.The conventional management method was adopted to manage these medical devices from January to December 2022,and the assessment model(dynamic programming algorithm)on the basis of dynamic programming algorithm for these medical devices was adopted to manage them from January to December 2023.The management level for medical devices,the score for management indicators,the incidences of low risk,medium risk and high risk of adverse event were compared before and after the dynamic programming algorithm was applied,and the difference of the scores of assessing comprehensive business ability of management team was also compared.Results:The standard placement rate,standard recording rate and availability rate of equipment were respectively 85.5%,84.0%and 84.5%after the dynamic programming algorithm was applied,which were higher than those before it was applied,and the failure rate of equipment was 2.5%,which was lower than that before it was applied,and the differences were statistically significant(x^(2)=13.888,12.516,14.240,14.414,P<0.05).The scores of resource allocation,information basis,technical support and guarantee for operation environment of devices were respectively(92.54±4.69),(93.65±3.65),(94.58±3.65)and(92.47±3.65)after the dynamic programming algorithm was applied,which were higher than these before it was applied,and the differences were statistically significant(t=14.574,18

关 键 词：动态规划算法 医疗器械 评估模型 设备管理 

分 类 号：R197.39[医药卫生—卫生事业管理]