Study on improving the safety efficiency of diagnosis and treatment of medical equipment of anesthesiology department based on special management model for SHEL
Objective:To construct an evaluation model of safety efficiency of medical equipment in diagnosis and treatment on the basis of special management model of software-hardware-environment-liveware (SHEL),and to discuss its application value in improving the safety effectiveness of medical equipment in diagnosis and treatment of anesthesiology department. Methods:Based on the management system,equipment and facilities,diagnosis and treatment areas and medical personnel,a safety effectiveness evaluation model was constructed with four levels:management,operation,condition and operational efficiency. The geometric average method was used to calculate the index weight to comprehensively evaluate the safety efficacy of equipment in diagnosis and treatment. Special management measures,including standardized training,risk management,information upgrades,and preventive maintenance,were formulated for equipment management. A total of 115 medical equipment in clinical use in the Department of Anesthesiology of the No.2 Hospital of Baoding from 2020 to 2023 were selected. From January 2020 to December 2021,104 medical equipment were managed using the conventional management mode,and from January 2022 to December 2023,108 equipment were managed using the special management mode. The safety efficacy scores and safety management quality of the two management modes were compared,and the satisfaction of 12 doctors,18 nurses,5 technicians and 6 engineers with the clinical use of the two management modes were compared. Results:The average scores of management efficacy,running efficacy,conditional efficacy and operational efficacy of medical equipment in anesthesiology using a special management mode were (89.09±4.79) points,(91.08±4.21) points,(90.58±3.87) points and (92.25±3.36) points,respectively,all of which were higher than those of conventional management mode. The differences were statistically significant (Z=2.344,2.457,3.498,2.601,P<0.05). The average safety risk ratio of anesthesia equipment,monitoring equipment,first aid equipment,treatment equipment and other auxiliary equipment using special management mode were (1.45±0.69)％,(1.62±0.61)％,(1.15±0.39)％,(1.22±0.38)％ and (1.84±0.53)％,respectively. These ratios were all lower than those using the conventional management mode,and the differences were statistically significant (Z=2.686,3.149,3.236,3.640,3.323,P<0.05). The satisfactions of doctors,nurses,technicians and engineers with the clinical use of medical equipment in anesthesiology using the special management mode were (91.29±3.47) points,(92.34±2.28) points,(93.80±3.01) points and (90.07±3.73) points,respectively,all of which were higher than those using the conventional management mode. The differences were statistically significant (Z=2.207,2.705,2.554,3.069,P<0.05),respectively. Conclusion:The special management mode of evaluation model of safety efficiency of medical equipment in diagnosis and treatment under SHEL model can improve the safety efficiency of equipment in usage,and reduce safety risk of equipment operation,and improve the quality of equipment in clinical service.
SHEL modelMedical devicesDiagnosis and treatment safetyEffectiveness evaluationRisk control
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