基于成熟度评估模式的外科手术设备管理能力分析与改进研究

Capability analysis and improvement research of surgical equipment management capability based on maturity assessment model

目的:构建外科手术设备管理能力成熟度评估模型,提高外科手术设备管理质量。方法:根据设备组成形态和运行状态,构建外科手设备管理能力成熟度模型框架,从资源配置、环境保障、信息基础、技术支持和管理绩效5个层面制定成熟度评价体系,采用云模型评价策略进行成熟度的A级、B级、C级和D级4个等级评定,并制定管理能力成熟度提升路径。选取医院临床在用的1621台外科手术设备,按照管理模式不同将其分为对照模式和观察模式,对照模式采用常规管理模式,观察模式采用基于成熟度评估模型制定设备的优先管理模式。对比两种管理模式设备管理能力成熟度等级、管理指标评分值和设备管理认可度。结果:观察模式评定为A级和B级的占比为3.33%(54/1621)和7.28%(118/1621),低于对照模式,评定为C级和D级的占比为60.76%(985/1621)和28.62%(464/1621),高于对照模式,其差异有统计学意义(χ^(2)=132.402,χ^(2)=411.692,χ^(2)=120.166,χ^(2)=269.033;P<0.05);观察模式外科手术设备管理资源配置、运行环境保障、网络信息基础、工程技术支持和运维管理绩效的指标评分分别为(90.98±5.21)分、(89.21±3.91)分、(91.40±4.09)分、(90.15±3.64)分和(91.57±3.37)分,均高于对照模式,其差异有统计学意义(t=3.334,t=4.943,t=2.252,t=6.015,t=4.400;P<0.05);两种管理模式设备使用管理涉及的工程师、护理人员、医生及相关科室管理者对观察模式设备管理认可度分别为(87.63±4.12)%、(91.18±3.76)%、(96.65±3.04)%和(89.58±4.02)%,均高于对照模式,其差异有统计学意义(t=5.376,t=4.761,t=4.526,t=4.482;P<0.05)。结论:外科手术设备管理能力成熟度评估模型能够提高外科手术设备管理质量和运行质量,改善设备服务水平,对医院管理质量提升具有重要价值。

Objective:To construct a maturity assessment model of surgical equipment management capability and improve the quality of surgical equipment management.Methods:According to the composition form and operation status of the equipment,A maturity model framework for the management capability of surgical hand equipment was constructed,and a maturity evaluation system was developed from five levels:resource allocation,environmental guarantee,information basis,technical support and management performance.The cloud model evaluation strategy was adopted to evaluate the maturity in four levels:Level A,Level B,level C and level D,and a path for improving the maturity of management capability was developed.1621 surgical equipment in clinical use in hospitals were selected and divided into control mode and observation mode according to different management modes.The conventional management mode was adopted in the control mode,and the priority management mode based on maturity assessment model was adopted in the observation mode.Compared the maturity level of device management capability,the score value of management index and the recognition degree of device management in the two management modes.Results:In observation mode,3.33%(54/1621)and 7.28%(118/1621)rated as grade A and Grade B were lower than those in control mode,while 60.76%(985/1621)and 28.62%(464/1621)rated as grade C and grade D were higher than those in control mode.The difference was statistically significant(χ^(2)=132.402,χ^(2)=411.692,χ^(2)=120.166,χ^(2)=269.033;P<0.05).The index scores of surgical equipment management resource allocation,operation environment guarantee,network information foundation,engineering technical support and operation and maintenance management performance were(90.98±5.21)points,(89.21±3.91)points,(91.40±4.09)points,(90.15±3.64)points and(91.57±3.37)points,respectively scores were higher than those in the control mode,and the difference was statistically significant(t=3.334,t=4.943,t=2.252,t=6.015,t=4.400;P<0.05).Engineers,nurses,doctors and related department managers involved in the management of equipment use were(87.63±4.12)%,(91.18±3.76)%,(96.65±3.04)%and(89.58±4.02)%,respectively,which were higher than those in the control mode.The difference was statistically significant(t=5.376,t=4.761,t=4.526,t=4.482;P<0.05).Conclusion:The maturity assessment model of surgical equipment management capability can improve the quality of surgical equipment management and operation,improve the level of equipment service,and has important value for the improvement of hospital management quality.