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基于风险评估的有创呼吸机质控管理及误差分析

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目的 探讨影响有创呼吸机质控合格率的因素,以及相应的整改措施.方法 选取2024年1-6月瑞安市人民医院在用的71台有创呼吸机,对其进行风险评估,根据评估结果制定预防性维护和质控检测计划.采用Fluke气体流量分析仪VT650作为检测工具,有创呼吸机的潮气量、通气频率、吸气氧浓度、吸气压力水平、呼气末正压等关键参数进行检测,并记录设置值、显示值和实测值.结果 我院71台呼吸机中合格为40台,此次呼吸机质控整体合格率为56.34%,主要问题在于潮气量、吸气压力水平的合格率较低.经过维修和校准后,各参数合格率均提高到100%,整体合格率也提高到100%.结论 定期对呼吸机进行基于风险评估的有创呼吸机质控管理,可有效提高其稳定性及安全性,潮气量输出值误差合格率偏差较大,因此需要加大维护力度,促进医疗工作安全有序地开展.
Quality control management and result analysis of invasive ventilators based on Fluke detector
Objective To explore the factors affecting the quality control qualification rate of invasive ventilators in our hospital and corresponding corrective measures.Methods Firstly,conduct a risk assessment of the ventilator and develop a preventive maintenance and quality control testing plan based on the assessment results.Using the Fluke gas flow analyzer VT650 as the detection tool,key parameters such as tidal volume,ventilation frequency,inspiratory oxygen concentration,inspiratory pressure level,and positive end expiratory pressure of our hospital's invasive ventilators were detected,and the set values,displayed values,and measured values were recorded(data selected from the detection records of the first half of 2024).Results Among the 71 ventilators tested,40 ventilators were found to have non compliant items,mainly due to the low qualification rate of tidal volume and inspiratory pressure levels.After maintenance and calibration,the qualification rate of each parameter has increased to 100%,and the overall qualification rate has also increased to 100%.Conclusion Regular risk-based invasive ventilator quality control management can effectively improve its stability and safety.However,there is a large deviation in the error rate of tidal volume output value,so more efforts should be made to maintain it,thereby promoting the safe and orderly development of medical work.

VentilatorQuality control managementRisk assessmentPreventive maintenanceQuality control qualification rateQualification rate of output value error

赵如如、洪静、郑威

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瑞安市人民医院设备科,温州 325200

呼吸机 质控管理 风险评估 预防性维护 质控合格率 输出值误差合格率

2024

现代仪器与医疗
中国科学器材公司

现代仪器与医疗

影响因子:1.47
ISSN:2095-5200
年,卷(期):2024.30(5)