摘要
目的:构建基于改进证据理论的医疗设备管理体系,分析其在医院老年消化内科设备管理中的应用效果。方法:借助改进证据理论识别老年消化内科医疗设备管理风险,引入动态权重和静态权重,结合博弈思想组合赋权方式,构建基于改进证据理论的医疗设备管理体系。选取2021年至2023年西安市第一医院老年消化内科临床在用的60台医疗设备,将2021年至2022年使用的医疗设备采用常规方法进行管理(常规管理),2022年至2023年使用的医疗设备应用改进证据理论进行管理(改进证据理论管理),对比两种管理方法的设备管理质量、设备数据完整度评分和设备管理团队综合考核评分。结果:采用改进证据理论方法管理的设备平均故障发生率和报废率分别为(12.36±3.6)%和(2.65±0.54)%,均低于常规管理方法(t=9.897、15.877,P<0.05),而故障平均自行检修率和升级率分别为(90.69±6.25)%和(91.25±5.25)%,高于常规管理方法,差异有统计学意义(t=13.191、14.828,P<0.05);采用改进证据理论方法的平均设备数据管理、诊疗数据分析和临床应用数据完整度评分分别为(92.36±2.36)、(93.69±2.36)和(94.39±3.26)分,均高于常规管理方法,差异有统计学意义(t=13.044、13.893、15.036,P<0.05);技术保证团队、技术开发团队、技术实践团队和辅助管理团队成员对采用改进证据理论方法的综合考核平均分分别为(91.36±3.26)、(94.26±3.59)、(95.36±4.36)和(96.36±3.26)分,均高于常规管理方法,差异有统计学意义(t=8.224、14.796、14.129、19.005,P<0.05)。结论:基于改进证据理论的医疗设备管理体系可对设备应用中出现的风险进行评估,提高设备管理质量,提升设备管理团队水平,为老年消化内科设备管理提供决策帮助。
Objective:To construct a medical equipment management system based on improved evidence theory,and to analyze its application effect in the equipment management of geriatric gastroenterology department in hospitals.Methods:With the help of improved evidence theory,the risk of medical equipment management in geriatric gastroenterology department was identified,dynamic weights and static weights were introduced,and a medical equipment management system based on improved evidence theory was constructed by combining the game idea with the portfolio empowerment approach.A total of 60 medical devices in clinical use in the department of geriatric gastroenterology of Xi'an No.1 Hospital from 2021 to 2023 were selected,and the medical devices used from 2021 to 2022 were managed by conventional methods,and the medical devices used from 2022 to 2023 were managed by using the improved evidence theory(improved evidence theory management).The equipment management quality,equipment data integrity score and comprehensive assessment score of equipment management team were compared between the two management methods.Results:The average failure rate and scrap rate of equipment managed by the improved evidence theory method were(12.36±3.65)%and(2.65±0.54)%,respectively,which were lower than those of the conventional management method(t=9.897,15.877,P<0.05),the average self-maintenance rate and upgrade rate of faults were(90.69±6.25)%and(91.25±5.25)%,respectively,which were higher than those of the conventional management method,the difference was statistically significant(t=13.191,14.828,P<0.05).The average scores of equipment data management,diagnosis and treatment data analysis and clinical application data integrity using the improved evidence theory method were(92.36±2.36)points,(93.69±2.36)points and(94.39±3.26)points,respectively,which were higher than those of the conventional management method,the difference was statistically significant(t=13.044,13.893,15.036,P<0.05).The average comprehensive assessment scores of te
作者
冉妮娜
薛娟
史艳妮
任沙沙
赵妮
康莹
Ran Ni'na;Xue Juan;Shi Yanni;Ren Shasha;Zhao Ni;Kang Ying(Department of Geriatric Gastroenterology,Xi'an No.1 Hospital,Xi'an 710001,China;Department of Gastroenterology,Xi'an No.1 Hospital,Xi'an 710001,China)
出处
《中国医学装备》
2024年第11期116-120,共5页
China Medical Equipment
关键词
改进证据理论
老年消化内科
医疗设备
管理效果
风险评价
Improved evidence theory
Geriatric gastroenterology
Medical equipment
Management effect
Risk assessment
