基于综合权重的医院儿科医疗设备安全运行风险评价体系构建研究  

Construction of risk evaluation system for safe operation of medical equipment of the department of pediatrics in hospital on the basis of comprehensive weight

作　　者：吕婷婷[1] 史丽娜 王旭 宁晓洁 Lyu Tingting;Shi Lina;Wang Xu;Ning Xiaojie(Department of Pediatric Internal Medicine,Yuncheng Central Hospital Affiliated to Shanxi Medical University,Yuncheng 044000,China)

机构地区：[1]山西医科大学附属运城市中心医院儿内科,运城044000

出　　处：《中国医学装备》2025年第4期123-128,共6页China Medical Equipment

摘　　要：目的:构建基于综合权重的儿科医疗设备安全运行风险评价体系,降低设备运行风险。方法:采用德尔菲法构建医疗设备管理风险评价模型,采用层次分析法(AHP)和熵权法对评价指标进行赋权,确定各层级指标相对权重对设备进行安全管理。选取2022年1月至2023年12月山西医科大学附属运城市中心医院儿科在用的100台医疗设备,分别采用常规管理模式(50台)和医疗设备安全运行风险评价体系(风险评价体系)管理模式(50台)进行管理,对比两种管理模式的设备运行质量、临床使用安全性和设备警报风险控制率,以及设备使用管理的设备工程师、医生、护理人员和相关科室管理者对两种管理模式的认可度评分。结果:采用风险评价体系管理模式的设备维护执行率、质量检测合格率、消毒合格率和问题有效响应率平均值分别为(93.65±3.65)%、(91.45±3.25)%、(93.14±3.69)%和(94.26±3.14)%,均高于常规管理模式,差异有统计学意义(t=18.599、12.376、11.746、16.006,P<0.05);设备使用中患儿的相关感染、压力性损伤和体液外渗风险事件占比分别为4%(2/50)、6%(3/50)和6%(3/50),低于常规管理模式,差异有统计学意义(x^(2)=10.714、8.576、9.756,P<0.05)。采用自制满意度问卷调研参与设备使用管理的工程师、医生、护理人员和相关科室管理者对采用风险评价体系管理模式的设备管理认可度评分分别为(92.14±4.01)、(93.54±4.63)、(93.65±3.36)和(91.57±3.98)分,均高于常规管理模式,差异有统计学意义(t=15.798、13.331、15.545、13.940,P<0.05)。采用风险评价体系管理模式的设备警报阈值合格率和运维合格率平均值分别为(98.25±3.54)%和(97.36±4.65)%,高于常规管理模式,警报静音率平均值为(2.36±1.54)%,低于常规管理模式,差异均有统计学意义(t=11.207、8.813、10.717,P<0.05)。结论:基于综合权重的医院儿科医疗设备安全运行风险评价体系在�Objective:To construct a risk evaluation system for safe operation of medical equipment of the department of pediatric internal medicine on the basis of comprehensive weight,so as to reduce the risk of operating equipment.Methods:The risk evaluation model of managing medical equipment was constructed by using Delphi method,and the evaluation indicators were weighted by analytic hierarchy process(AHP)and entropy weight method,and then,the safety management for equipment was conducted after the relative weights of indicators at each level were determined.A total of 100 used medical equipment in the department of pediatric internal medicine of Yuncheng Central Hospital of Shanxi Province from January 2022 to December 2023 were selected,and they were managed respectively by conventional management mode(50 equipment)and the management mode with risk evaluation system for safe operation of medical equipment(50 equipment).The quality of equipment operation,safety of clinical use and risk control rate of equipment alarm between the two management modes were compared,as well as the recognition scores of the engineers of equipment,doctors,paramedics and managers of relative department,who used and managed equipment,for the two management modes.Results:The average values of maintenance implementation rate,quality inspection qualification rate,disinfection qualification rate and effective response rate of problems of equipment of using the management mode with risk evaluation system were respectively(93.65±3.65)%,(91.45±3.25)%,(93.14±3.69)%and(94.26±3.14)%,which were all higher than these of conventional management mode,and the differences were statistically significant(t=18.599,12.376,11.746,16.006,P<0.05).The ratios of device-associated infection,stress injury and body fluid extravasation of risk events were respectively 4%(2/50),6%(3/50)and 6%(3/50),which were lower than those of conventional management mode,and the differences were statistically significant(x^(2)=10.714,8.576,9.756,P<0.05).The recognition scores of t

关 键 词：综合权重 儿科设备 安全运行 风险评价 

分 类 号：R197.39[医药卫生—卫生事业管理]