【摘要】 目的：基于风险控制模型构建手术室医疗设备预防性维修路径，分析其在手术室医疗设备管理中的应用效果。方法：基于风险控制模型的设备特性、使用时长、启动频率、运行效率、操作者技能、保养频率和技术支持7个关键因素，遵循预防性维修管理模式，从设备应用管理、预防性保养、预见性维修、故障修复、事后保养和质量监控6个维度构建预防性维修路径。选取2022年1月至2023年12月中山市小榄人民医院手术室在用的215台医疗设备，将2022年1月至12月的设备采用常规管理方法进行维护管理，2023年1月至12月的设备采用基于风险控制模型的医疗设备预防性维修路径方法(模型管理方法)进行维护管理，对比两种管理方法的设备管理质量和运行质量。采用自制问卷调研设备使用人员对手术室医疗设备服务质量的满意度。结果：采用模型管理方法的设备平均使用规范度、维护有效率、维修及时性和质量检测合格率分别为(94.43±4.26)%、(97.74±1.53)%、(86.78±6.72)%和(96.48±3.02)%，均明显高于常规管理方法，差异有统计学意义(t=22.583、34.738、14.820、18.577,P<0.05)。采用模型管理方法的平均设备开机率和故障自修率均高于常规管理方法，而平均管理费用增长率低于常规管理方法，差异有统计学意义(t=10.355、7.624、12.811,P<0.05)。设备使用人员对采用模型管理方法的设备应用管理、预防性保养、预见性维修、故障修复、事后保养和质量监控的满意度评分高于常规管理方法，差异有统计学意义(t=18.653、22.942、18.752、23.673、40.055、37.120,P<0.05)。结论：基于风险控制模型的手术室医疗设备预防性维修路径能够提升手术室设备管理质量，提高设备管理效果和使用人员满意度。更多还原

【Abstract】 Objective: To construct a preventive maintenance path based on risk control model for medical equipment in the operating room, and analyze its application effect in the management for medical equipment in the operating room. Methods:Based on 7 key factors included equipment characteristics, usage duration, startup frequency, operating efficiency, operator skills,maintenance frequency, and technical support in risk control model, we followed management mode of preventive maintenance, and constructed a preventive maintenance path from six dimensions which included management of equipment application, preventive maintenance and upkeep, predictive maintenance, fault repair, post upkeep, and quality monitoring. A total of 215 used medical equipment in operating room at Xiaolan People’s Hospital of ZhongShan from January 2022 to December 2022 were selected, and the equipment during January and December 2022 received maintenance management by using conventional management method, and these during January and December 2023 received maintenance management by using preventive maintenance path method based on risk control model for medical equipment(model management method). The quality of management and operation for equipment between two kinds of management methods were compared. A self-designed questionnaire was adopted to investigate the operators’ satisfaction for service quality of equipment in operating rooms. Results: The average standardization degree of using equipment,efficiency of maintenance, timely maintenance, and qualification rate of quality inspection of adopting model management method were respectively(94.43±4.26)%,(97.74±1.53)%,(86.78±6.72)% and(96.48±3.02)%, all of which were higher than those of adopting conventional method(t=22.583, 34.738, 14.820, 18.577, P<0.05). The average rate of starting equipment and self-repair rate of the model management method were significantly higher than those of the conventional method, and the differences were statistically significant(t=10.355, 7.624, 12.811, P<0.05). The satisfaction scores of operators who used management for adopting model management method were higher than those for adopting conventional management method in applying and managing equipment, preventive upkeep, predictive maintenance, fault repair, post upkeep and quality monitoring, and the differences were statistically significant(t=18.653, 22.942, 18.752, 23.673, 40.055, 37.120, P<0.05). Conclusion: The preventive maintenance path based on risk control model for medical equipment in operating room can improve the management quality for equipment in operating room, and enhance management effectiveness and operators’ satisfaction.更多还原