摘要
目的:构建医疗设备责任清单管理模式,探讨其在手术室设备安全风险控制管理中的应用价值。方法:选取医院手术室在用的149台医疗设备,按照管理周期不同分别纳入对照组和观察组,对照组采用事件应对管理模式;观察组采用责任清单管理模式,按照设备安全风险优先级制定管理清单,根据管理、监督和执行的不同岗位划分工作职责,开展定期评估反馈和管理对策调整。自制满意度问卷调研两组手术室设备临床服务水平和护理质量,对比两组安全风险控制效果及运行管理质量的差异。结果:观察组设备使用中造成的压力性损伤、电气损伤、体液外渗和消毒不合格发生率低于对照组,差异有统计学意义(t=4.664,t=2.731,t=3.358,t=2.872;P<0.05);观察组设备使用操作、消毒灭菌、维护保养和故障维修规范度好于对照组,差异有统计学意义(t=2.471,t=4.287,t=3.145,t=4.495;P<0.05);手术室医生、护士和患者对观察组设备使用中的满意度高于对照组,差异有统计学意义(t=4.020,t=6.285,t=2.487;P<0.05)。结论:责任清单管理模式可有效分析手术室设备的安全风险因素,降低设备安全风险发生率,提升设备临床运行质量和护理质量,改善临床服务水平。
Objective:To establish the management mode of medical equipment responsibility list and to explore its application value in the safety risk control management of nursing equipment in operating room.Methods:A total of 149 medical equipment in clinical use in operating room were selected and divided into control group and observation group according to the different management cycles.The control group adopted the incident response management mode.The observation group adopted the responsibility list management mode,a management list was formulated according to the priorities of equipment safety risks,the work responsibilities were divided according to the different positions for management,supervision and execution,and regular assessment feedback and management countermeasures adjustment were carried out.The self-made satisfaction questionnaire was used to investigate the clinical service level of nursing equipment in the operating room between the two groups,and the differences of safety risk control effect and operation management quality between the two groups were compared.Results:The incidence of pressure injury,electrical injury,body fluid extravasation and disqualification for disinfection in the observation group was lower than that in the control group,the difference was statistically significant(t=4.664,t=2.731,t=3.358,t=2.872;P<0.05).The degree of standardization of operation,disinfection and sterilization,maintenance and fault repair in the observation group was better than that in the control group,the difference was statistically significant(t=2.471,t=4.287,t=3.145,t=4.495;P<0.05).The satisfaction of operating room doctors,nurses and patients in the observation group was higher than that in the control group,the difference was statistically significant(t=4.020,t=6.285,t=2.487;P<0.05).Conclusion:The responsibility list management mode can effectively analyze the safety risk factors of operating room nursing equipment,reduce the incidence of safety risk of equipment,enhance the clinical operation quality of equipment,and improve the level of clinical service.
作者
闫彦
陈君
陈鹏雷
蔡宁
YAN Yan;CHEN Jun;CHEN Peng-lei(不详;Operating Room,Fuyang People's Hospital,Fuyang 236000,China)
出处
《中国医学装备》
2022年第9期172-176,共5页
China Medical Equipment
关键词
责任清单
手术室设备
安全风险
运行质量
临床服务
Responsibility list
Operating room equipment
Safety risk
Operation quality
Clinical services
