失效模式与效应分析模式在优化血液净化设备管理中的临床效能研究  

Study on the clinical efficacy of FMEA in optimizing management of blood purification equipment

作　　者：樊海玉 姜伟[1] 聂英杰 杨东东[1] Fan Haiyu;Jiang Wei;Nie Yingjie;Yang Dongdong(Department of Medical Engineering,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China;Department of hepatobiliary surgery,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院医学工程处,张家口075000 [2]河北北方学院附属第一医院肝胆外科,张家口075000

出　　处：《中国医学装备》2025年第4期129-134,共6页China Medical Equipment

摘　　要：目的:探讨失效模式与效应分析(FMEA)在优化血液净化设备管理中的临床效能。方法:基于FMEA构建医疗设备管理模式对河北北方学院附属第一医院血液净化科血液透析设备进行管理。选取2022年10月至2024年9月血液净化科在用的83台血液透析设备,2022年10月至2023年9月采用传统常规管理模式,2023年10月至2024年10月采用FMEA管理模式进行管理。比较两种管理模式的设备运转质量、设备综合效率和设备使用管理人员管理能力的差异。结果:采用FMEA管理模式的设备故障率、自主维修率、保养维护率和规范操作率平均值分别为(4.72±0.11)%、(90.62±3.44)%、(95.42±2.43)%和(96.22±1.48)%,故障率低于常规管理模式,自主维修率、保养率和操作规范率高于常规管理模式,差异均有统计学意义(t=108.568、13.658、9.318、10.354,P<0.05)。采用FMEA管理模式的设备可用性比率、性能指数比率和品质指数比率平均值分别为(91.04±2.65)%、(96.94±2.31)%和(97.66±1.19)%,均高于常规管理模式,差异有统计学意义(t=19.330、13.085、14.889,P<0.05)。设备使用管理人员对采用FMEA模式的岗位职责、设备基础知识、操作保障能力和管理绩效评分分别为(94.12±2.76)、(92.03±2.50)、(91.35±2.62)和(93.65±3.28)分,均高于常规管理模式,差异有统计学意义(t=7.630、11.027、17.311、11.645,P<0.05)。结论:FMEA模式应用于血液净化科血液透析设备管理,能够提高设备运行质量,减少设备故障频次,提升设备整体利用效率及科室临床服务品质。Objective:To explore the clinical efficacy value of the medical failure mode,and failure mode and effect analysis(FMEA)mode in equipment management of the department of optimizing blood purification equipment.Methods:Based on the management concept of medical FMEA,a FMEA management mode for equipment was constructed to manage the hemodialysis equipment in the blood purification department of the First Affiliated Hospital of Hebei North University.A total of 83 used hemodialysis equipment in the blood purification department of our hospital from October 2022 to September 2024 were selected,and they were managed respectively by using conventional management mode and FMEA management mode.The differences of operation quality of equipment,comprehensive efficiency of equipment and the management capabilities of managers who used the equipment between two kinds of management modes were compared.Results:The average values of failure rate of equipment,self-repair rate,maintenance rate,and standardized operation rate of using FMEA management mode were respectively(4.72±0.11)%,(90.62±3.44)%,(95.42±2.43)%and(96.22±1.48)%.The failure rate of FMEA management mode was lower than that of conventional management mode,while the self-repair rate,maintenance rate,and standardized operation rate were higher than those of conventional management mode,and the differences were statistically significant(t=108.568,13.658,9.318,10.354,P<0.05).The average values of availability ratio of equipment,ratio of performance index,and ratio of quality index of adopting FMEA management mode were respectively(91.04±2.65)%,(96.94±2.31)%and(97.66±1.19)%,which were higher than those of conventional management mode,and the differences were statistically significant(t=19.330,13.085,14.889,P<0.05).The scores of job responsibilities,basic knowledge for equipment,guarantee capabilities for operation and management performance of manager were respectively(94.12±2.76),(92.03±2.50),(91.35±2.62)and(93.65±3.28)in using the FMEA management mode,which we

关 键 词：失效模式与效应分析(FMEA) 临床效能 血液净化设备 设备管理 

分 类 号：R197.39[医药卫生—卫生事业管理]