摘要
目的:基于计量安全视角构建大型医疗设备计量安全评估模型,探讨其在大型医疗设备管理中的应用价值。方法:按照安全风险源不同,将大型医疗设备诊疗区域划分为光源、电气、用水、辐射及信息5种类型,采用主观和客观相融合方式进行计量安全评估指标赋权,根据计量安全级别和安全变化趋势制定保障策略。选取2020年至2023年联勤保障部队第九六〇医院在用的48台大型医疗设备,2020年至2021年期间使用的42台设备采用常规故障维修保障模式(简称常规保障模式),2022年至2023年期间使用的43台(含常规模式在用的37台和新增加的6台)设备采用计量安全技术保障模式(简称计量安全保障模式)。对比两种管理模式下的大型医疗设备计量安全管理能力评分、计量检测合格水平和计量安全管理效果。结果:大型医疗设备使用管理相关人员对采用计量安全保障模式的理论知识、安全意识、实际操作和应急水平指标考核分值分别为(17.39±1.38)、(17.87±1.08)、(27.68±1.45)和(27.96±1.24)分,均高于常规保障模式,差异有统计学意义(t=4.234、4.371、5.832、3.764,P<0.05);采用计量安全保障模式的医学影像设备、生命支持设备、临床检验设备、手术室设备及其他设备的计量检测平均合格率分别为(95.19±2.56)%、(95.56±1.79)%、(94.64±2.42)%、(96.20±2.01)%和(93.46±2.22)%,亦均高于常规保障模式,差异有统计学意义(t=3.846、2.809、2.405、2.492、2.742,P<0.05);采用计量安全保障模式的大型医疗设备评定为高安全级别和低安全级别的比例分别为67.44%(29/43)和4.65%(2/43),高安全级别比例高于常规保障模式,低安全级别比例低于常规保障模式,差异均有统计学意义(x2=4.261、7.085,P<0.05)。结论:基于安全视角的大型医疗设备计量安全评估模型,能够提高设备使用管理相关人员的安全管理能力,改善设备运行质量和性能水平,提高大型医疗设备计量安全高安全级别比例,降低低安全级别比例。
Objective:To construct a metrological safety evaluation model for large medical equipment based on the perspective of metrological safety,and to explore its application value in the management of large medical equipment.Methods:According to the different safety risk sources,the diagnosis and treatment area of large medical equipment was divided into five types:light source,electricity,water,radiation and information.The metrological safety assessment indicators were empowered by combining subjective and objective methods,and engineering support strategies were developed according to the metrological safety levels and safety change trends.A total of 48 large medical equipment in clinical use in The 960th Hospital of PLA Joint Logistic Support Force from 2020 to 2023 were selected.The 42 sets of equipment used during 2020 to 2021 adopted the conventional fault maintenance support mode(referred to as the conventional support mode),and the 43 sets of equipment used from 2022-2023(including 37 in conventional mode and 6 newly added)adopted the metrology safety technical support mode(referred to as metrology safety support mode).The metrology safety management ability score,metrological inspection qualification levels and metrological safety management effects of large medical equipment were compared between the two management modes.Results:The evaluation scores of theoretical knowledge,safety awareness,practical operation and emergency level indicators of large medical equipment use management personnel of the metrology safety support model were(17.39±1.38)points,(17.87±1.08)points,(27.68±1.45)points and(27.96±1.24)points,respectively,which were higher than those of the conventional support mode,the difference was statistically significant(t=4.234,4.371,5.832,3.764,P<0.05).The average metrological inspection qualified rates(%)of medical imaging equipment,life support equipment,clinical laboratory equipment,operating room equipment and other equipment using the metrology safety support mode were(95.19±2.56)%,(95.56±1.79)%,(94.64±2.42)%,(96.20±2.01)%and(93.46±2.22)%,respectively,which were higher than those of the conventional support mode,the difference was statistically significant(t=3.846,2.809,2.405,2.492,2.742,P<0.05).The proportion of large medical equipment rated as high safety level and low safety level in the metrological safety support model were 67.44%(29/43)and 4.65%(2/43),respectively,the proportion of high safety level was higher than that in the conventional support mode,and the proportion of low safety level was lower than that in the conventional support mode,the difference was statistically significant(x2=4.261,7.085,P<0.05).Conclusion:The large medical equipment metrological safety support mode based on the safety perspective can improve the safety management ability of personnel related to equipment use and management,improve the operation quality and performance level of equipment,increase the proportion of high-safety level metrology safety of large medical equipment,and reduce the proportion of low-safety level.
作者
汪鹏飞
孙志东
赵晓辰
迟理文
李洋洋
Wang Pengfei;Sun Zhidong;Zhao Xiaochen;Chi Liwen;Li Yangyang(Department of Medical Engineering,The 960th Hospital of the PLA Joint Logistics Support Force,Jinan 250031,China;The 960th Hospital of the PLA Joint Logistics Support Force,Jinan 250031,China)
出处
《中国医学装备》
2024年第11期121-125,136,共6页
China Medical Equipment
关键词
计量安全
技术保障
诊疗区域
评估指标
Metrological safety
Technical support
Diagnosis and treatment area
Evaluation parameter
