区块链技术在医院急救及生命支持设备临床配置管理中的价值研究  

Value of blockchain technique in clinical configuration management for emergency and life-supporting equipment of hospital

作　　者：韩伟[1] 潘伟[1] 高翔宇 于斌 刘沁峰 Han Wei;Pan Wei;Gao Xiangyu;Yu Bin;Liu Qinfeng(Department of Medical Equipment,Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院医学装备部,西安710068

出　　处：《中国医学装备》2025年第4期105-110,共6页China Medical Equipment

摘　　要：目的:基于区块链技术构建医疗设备临床配置管理模型,探讨其在医院急救及生命支持设备临床配置管理中应用价值。方法:采用数据追溯管理模型,通过空间杜宾模型(SDM)分析设备配置中存在的问题建立设备临床配置管理模型,对急救及生命支持设备采购配置进行区块链评审模式管理。选取2019年1月至2022年12月陕西省人民医院临床配置的57台急救及生命支持设备,按照设备配置模式不同,将2019年1月至2020年12月临床配置的26台设备采用传统的专家评定模式进行采购配置管理,将2021年1月至2022年12月的31台设备采用区块链评审模式进行采购配置管理。专家评定模式对设备采购数据可追溯的采购申报、供应厂商、设备交易和售后保障4项内容进行抽检,抽检次数分别为128、85、119、100次,区块链评审模式分别为145、94、124、105次;专家评定模式采购流程规范率中急救设备、监测设备、治疗设备和其他设备总评审环节分别为25、40、30、35个,区块链评审模式分别为30、45、45、35个。对比两种配置模式的设备采购数据可追溯率、采购流程规范率和采购绩效目标达成率。结果:采用区块链评审模式的31台设备采购申报、供应厂商、设备交易和售后保障数据的可追溯率分别为92.41%(134/145)、100.00%(94/94)、97.58%(121/124)和97.14%(102/105),均高于专家评定模式,差异有统计学意义(x^(2)=5.898、4.525、9.185、8.362,P<0.05)。急救设备、监测设备、治疗设备和其他设备采购评审环节规范率分别为100.00%(30/30)、95.56%(43/45)、97.78%(44/45)和97.14%(34/35),均高于专家评定模式,差异有统计学意义(x^(2)=5.176、4.936、5.103、3.968,P<0.05)。31台设备采购项目进度指标、效益指标、质量指标和满意指标的目标达成率分别为96.77%(30/31)、100.00%(31/31)、100.00%(31/31)和93.55%(29/31),均高于专家评定模式,差异有统计学意义(x^(2)=6.581�Objective:To develop a blockchain-based clinical configuration management model for medical equipment and evaluate its application value in optimizing clinical configuration management of hospital emergency and life-support devices.Methods:A data traceability management model was implemented.The Spatial Durbin Model(SDM)was used to identify issues in equipment configuration,and a blockchain-enabled review framework was established for procurement management of emergency and lifesupport devices.From January 2019 to December 2022,57 emergency and life-support devices deployed in Shaanxi Provincial People's Hospital were retrospectively analyzed.Among them,26 devices(January 2019–December 2020)were managed via conventional expert evaluation,while 31 devices(January 2021–December 2022)were managed using blockchain-based review.In the conventional mode,four traceability parameters-procurement declaration,supplier qualification,transaction records,and after-sales support-were randomly sampled 128,85,119,and 100 times,respectively;in the blockchain mode,these parameters were sampled 145,94,124,and 105 times.Procurement process compliance was evaluated across device categories:emergency,monitoring,therapeutic,and others required 25,40,30,and 35 review steps(conventional mode)versus 30,45,45,and 35 steps(blockchain mode).Comparative metrics included data traceability rates,process compliance rates,and procurement performance target achievement rates.Results:The blockchain mode demonstrated superior traceability rates:92.41%(134/145)for declarations,100.00%(94/94)for suppliers,97.58%(121/124)for transactions,and 97.14%(102/105)for after-sales support-all significantly higher than the conventional mode(x^(2)=5.898,4.525,9.185,8.362,P<0.05).Process compliance rates reached 100.00%(30/30)for emergency devices,95.56%(43/45)for monitoring devices,97.78%(44/45)for therapeutic devices,and 97.14%(34/35)for others,with statistically significant improvements(x^(2)=5.176,4.936,5.103,3.968,P<0.05).Procurement performance targets f

关 键 词：区块链技术 临床配置 可追溯性 去中心化 生命支持设备 

分 类 号：R197.39[医药卫生—卫生事业管理]