The Application Value of Sanitary Wipes and Medical Alcohol+Gauze Disinfection Method in the Management and Use of Medical Equipment

Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized.

Discussion on Management Model of Medical Equipment Maintenance in Hospital

With the development of technology, medical equipment plays a more important role in the modern hospital. Medical equipment provides images, physiological results or other schematics of the patients to help doctors deal with the routines. It is also the major tool to the lab assistant in the clinical teaching and studies. It becomes one of a symbol of the technological level in modern hospital. The director of the hospital should establish an effi cacious management pattern to manage the medical equipment, so that it will be operated in good condition to insure the safety of the patients. Since the maintenance is an important part of medical equipment management, it is significant that the hospital should establish a system to fit for itself. The study reviews the issues in hospital medical equipment maintenance management, the development of the maintenance management model and the characteristics, as well as the status at home and abroad. The research has been fi nished by using literature research method, questionnaire survey method and data analysis method. Then we analyze the current status of hospital medical equipment maintenance management model to fi nd the problems. Based on the authentic and effective data from the survey, we can deduce the overview about the maintenance model in Beijing. The paper discusses the advantages and the disadvantages between the different model, and it makes suggestions on the follow aspects, such as system management, quality management, personnel management, cost management, information management perspective.

On Syllabus Design for the Specialty of Electromechanical Equipment Maintenance and Management in Vocational College

We carried out researches on the syllabus design for the specialty of electromechanical equipment maintenance & management in vocational college. Our researches involve the following aspects: (1) The training objective of the specialty; (2) the curriculum system; (3) The teaching methodology; and (4) Field training.

Study of Enterprise Equipment Maintenance Management Integrated Information System Based on B/S

Equipment maintenance management integrated information system is an important constituent part of enterprise IMS (Intelligent Manufacture System). The system should make the best of all kinds of information sources around the enterprise, and meet the demand for agile production. This paper presents an implementation scheme of Integrated Equipment Maintenance Management Information System Based on Internet/Intranet and gives component division scheme of each tier. This scheme adopts a three-tiers mode of B/S (Browser/Server) and software programming module based on software reusing technology. This makes the system integrated and open, makes maintenance and updating convenient, and largely increases software safety and reusability.

EXPLORATION ON THE DEVELOPMENT OF COMPUTER AIDED EQUIPMENT MAINTENANCE MANAGEMENT SYSTEMS

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Building Services Equipment and Effective Maintenance Culture:The Experts Standpoint

Effective management and maintenance of building equipment can yield more sustainable delivery of building services systems with buildings/facilities.Buildings generally provide habitation,security,comfort and indeed habitat for social and recreational activities.All over the world,buildings/facilities play very vital role in the economic development of any nation.Building equipment is classified as refrigerator,pump,lift and escalator systems,HVAC(heat ventilation and air-conditioning)systems,extractor fans as well as water and firefighting equipment among others.In this paper,the roles of maintenance culture within building equipment were examined in pursuit of achieving effective services delivery.More often than not,maintenance of building equipment option is sometimes played down but with emphasis on achieving optimum performance without recourse to striking a balance between the above indices.The paper also examines immediate and remote causes associated with maintenance management practices within building infrastructure systems(equipment)in this investigation.Experts’opinions were sought for their understanding,barriers and commitment of sustainability agenda in pursuit of building equipment maintenance ethics and the way forward.The achievable outcomes from this study demonstrate that optimum services delivery of building equipment relied on efficient management and maintenance culture options as best practices.

A Discussion on setting up the socialized Medical Equipment Maintenance Organization

This paper analyzes the main current characteristics of three operational modes of medical equipment maintenance (depending on the hospital maintenance capability, the manufacturers who produce and sell the plants, and the part-time organizations), and points out their common problems which are that all the three modes are not comprehensive, specialized, and socialized maintenance service organizations that are suitable to hospitals.

Characteristics and management strategy of the devices configured in Baosteel's domestically-integrated 60000 m^3/h air separation unit

Baosteel＇ s No. 8 air separation unit（ASU） is the first domestically-integrated 60 000 m^3/h ASU. This paper describes the mechanical equipment, the design and the configuration characteristics of this unit. The potential failure modes of the mechanical devices are deduced via analyses on the failure history of similar devices in other ASUs. Finally, this paper also brings up suggestions on daily maintenance, overhaul and purchases of spare parts.

基于Web和Android系统的医疗设备管理系统的设计与实现

随着医疗设备技术的不断发展,医院的规模不断扩大,传统人为粗放的管理模式愈发不适用于大型现代化医院医疗设备的管理。为实现医院现有的大量先进医疗设备科学高效管理,通过需求调研和分析后,设计并实现了基于Web和Android系统的大型医院医疗设备管理系统,通过该系统可以使医疗设备管理相关人员的工作完成信息化管理。经过测试和运行,发现该系统可以稳定运行,并从医疗设备购入到报废全生命周期的各个环节,使用对应的模块可方便相关人员更方便快捷的完成工作,实现了医疗设备的精细化管理。

以监护仪、输液泵、注射泵为例对全院级医疗设备集中管理模式的实践与探索

目的 探讨建立全院级生命支持类医疗设备集中管理模式的可行性,提高医疗设备精细化管理水平。方法 以我院为主体,选取监护仪、输液泵、注射泵3类设备,从运行模式、绩效分析两个方面建立运行制度,成立医疗设备集中管理中心,实施全院级集中管理。选取2021年7—10月数据作为对照组,选取2022年7—10月数据作为研究组,比较两组数据中3类设备的使用效率,以及两组数据中监护仪的维修周期。结果 实施集中管理后,输注泵使用效率提升9.37%(P﹤0.05),监护仪使用效率提升15.07%(P﹤0.05),监护仪平均维修周期缩短55.93%(P﹤0.05)。结论 医疗设备的集中管理模式可以提升设备使用效率、降低运行成本、降低管理难度,各医疗机构应不断优化管理措施,促进医疗设备的精细化管理。

基于区块链技术的医疗设备采购管理系统的设计与实现

目的针对传统采购资料易丢失和被篡改,无法保证采购数据安全性的问题,设计一套基于区块链技术的医疗设备采购管理系统。方法系统采用Python编程语言设计,使用Django框架、SQLite数据库,基于区块链技术构建区块链服务器、采购人客户端、采购机构客户端、供应商客户端、监管机构客户端,将整个采购过程中的数据全部进行区块化处理,使得所有数据保存完整,不能被随意窜改,最终实现具有防篡改特性并支持溯源的医疗设备采购管理系统。结果该系统各模块以及防篡改机制均通过测试验证;各模块的平均响应时间均<2 s,响应速度快;模拟网络及身份验证安全测试的结果显示,其安全性能均满足要求。结论将区块链技术应用于医疗设备采购管理系统是可行的方案,其保证了整个采购流程中产生的数据完整可靠并防止被篡改,使得采购信息能够在系统中完整留痕,从而对医疗设备的采购进行全方位管理。

基于RFID的医疗设备远程管理系统设计

为提高医院内设备定位精度,设计基于RFID的医疗设备远程管理系统。通过阅读器、电子标签和处理器组成RFID节点,引入AS3992芯片作为核心芯片,实现数据处理和编码,执行远程指令。采用自由空间传播模型计算路径损耗产生值,通过三角定位数学方法计算待定标签位置,采用RFID定位方法确定标签的最近邻居,实现医疗设备的远程定位。实验结果表明,在没有障碍物的情况下,所提系统设备定位误差少于1 m,在有障碍物的情况下,定位误差在2 m左右,证明所提出系统定位准确性较高,满足系统的设计需求。

JCI理念为框架的模式在消毒供应室医用器械管理中的应用效果

目的 探讨国际医疗卫生机构认证联合委员会(JCI)理念为框架管理模式在消毒供应室医用器械管理中的应用效果。方法 采用随机数字表法将2019年1月至2020年1月在消毒供应室工作的30例医护人员,随机分为对照组和试验组,每组15例。对照组采用常规管理模式,试验组采用以JCI理念为框架的管理模式。观察2组护理服务质量、综合素质、医护人员满意度和器械管理效果进行评价。结果 2组护理质量比较,试验组护理流程、质量监管、安全意识、感染风险评分显著高于对照组(P<0.05)。2组管理前综合素质评分比较,差异无统计学意义(P>0.05)。2组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于管理前,差异均有统计学意义(P<0.05)。试验组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于对照组,差异均有统计学意义(P<0.05)。试验组医务人员满意率,灭菌、清洗、检查、包装、发放和回收合格率明显高于对照组,差异均有统计学意义(P<0.05)。结论 JCI理念为框架管理模式在消毒供应室医用器械管理中的应用效果良好,能有效提高护理质量与护理安全性,增加医护人员满意度,可用于医疗管理之中。

基于物联网的医疗设备信息化平台建设实践

目的:以医疗设备六维管理为目标,提升医疗设备全生命周期精细化管理水平。方法:基于物联网技术,建设医疗设备信息化平台,围绕患者诊疗流程、大型设备检查预约、设备成本绩效、设备维保4个核心维度,实现医疗设备的运行数据精准采集、数据分析、可视化展示。结果:建成基于物联网的医疗设备信息化平台,实现患者诊疗流程追踪、医疗设备预约和使用跟踪、医疗设备运行绩效提升、医疗设备维修维保能力优化。结论:基于物联网的医疗设备信息化平台应用,能实现提高人员和设备运行效益,提高患者满意度,优化临床流程,提高医院的综合管理水平和运营效率。

消毒供应中心对外来医疗器械全程质量管理的效果分析

目的查看消毒供应中心对外来医疗器械全程质量管理的应用效果。方法择取我院骨科外来医疗器械作为本文调查样本,共收取480件,将其随机分为对照组和实验组,其中对照组的240件外来医疗器械采用医院消毒供应中心(CSSD)传统模式进行清洗消毒灭菌;实验组的240件外来医疗器械实施全程质量管理后清洗消毒灭菌;数据评价包括:不同管理模式应用于外来医疗器械清洗灭菌效果,通过问卷的方式来分析医护人员对器械使用的满意情况。结果实验组清洗合格率为98.3%、性能完好率为99.2%,灭菌合格率100%;对照组的清洗合格率为91.7%、性能完好率为94.2%,灭菌合格率97.5%,差异有统计学意义(P<0.05)。实验组的科室满意度为98.3%高于对照组85.0%,差异有统计学意义(χ^(2)=27.994,P<0.05)。结论消毒供应中心对外来医疗器械实施清洗灭菌期间采用全程质量管理,可明显提高外来医疗器械的清洗灭菌质量,有效保证外来医疗器械的临床安全使用。

基于C/S架构和物联网技术的可移动医疗设备共享调配系统的设计与应用

目的 设计一个可移动医疗设备高效管理与临床科室共享调配相结合的医疗设备共享管理平台,实现可移动医疗设备使用的全过程管理。方法 基于C/S架构,利用物联网技术优化整合现有医疗设备大数据资源,结合医院需求,构建可移动医疗设备共享调配系统,实现医疗设备共享管理、预约借用、统计分析等核心功能。通过比较系统上线前后呼吸机调配次数、平均调配时间、呼吸机使用率、单台呼吸机日均收入4个指标,分析系统应用效果。结果 系统上线后,呼吸机调配次数明显增加、平均调配时间明显降低,呼吸机使用率、单台呼吸机日均收入明显升高,且差异均有统计学意义(P﹤0.05),表明系统对提高呼吸机调配效率与使用效率有促进作用。结论 可移动医疗设备共享调配系统优化了医院设备管理流程,实现了医疗资源的统一调配,有效满足临床紧急抢救时医疗设备调配使用的相关需求,提高了医疗设备周转率以及设备管理人员的工作效率,有助于医院节约人员成本、降低采购费用,为医院管理者制定相关决策提供数据支撑。

考虑测量误差的CUSUM控制图对维纳过程的监控设计

目的 针对医疗设备存在的退化加速现象,提出对退化过程进行监控的方法,旨在有效监测到真实情况中退化加速的现象并进行预警,降低设备运维成本。方法 无论是退化率恒定还是退化率加速的维纳过程,其增量概率分布都是独立于其他时间区间增量的,本文运用上侧累积和(Cumulative Sum,CUSUM)控制图监控策略,并分析两类测量误差(乘性测量误差和加性测量误差)对控制图监控效率的影响。结果 运用蒙特卡洛仿真得到不同加速系数和测量误差下的平均运行链长(Average Run Length,ARL)和运行链长标准差,结果表明对于退化率恒定的固定效应模型,CUSUM对退化加速的监控具有稳健性,ARL的降低率均维持在43%左右;而在退化加速的随机效应模型中,监控性能会随着乘性测量误差(当乘性误差>0.1后)的增加而下降。结论 CUSUM控制图对医疗设备退化加速现象具有良好的监控能力,随着退化率的加速系数的增加,控制图能够越早发现异常退化加速状态。

医用气体工程智慧化运维应用

医用气体系统作为医院支持系统的核心之一,直接关系到医疗安全和医院的安全[1-2]。以预防为主、实时反馈及事后追踪三位一体管理为目标,建立了医用气体系统云管控平台;采用“1+1>2”人、机结合的管理方式,将运行控制与辅助决策相结合,研发了医用气体一体化运行维护监测系统,以实现对医院医用气体方面一体化数据的中央控制及实时监测包含液氧站、医用制氧机房、医用负压机房、医用空气机房及医用气体管网点位监测等设备的运行使用情况、设备维护信息、数据采集、压力实时报警、报表汇总、医用气体计量监测数据的一体化管理、统计、全成本分析及核算等功能。

成本控制背景下医院医疗设备的维修保养措施研究

随着我国卫生事业的不断发展,医疗服务水平的不断提升,医疗设备的维护工作受到越来越多的关注。医疗设备的成本控制非常重要,直接影响着医院的医疗水平,也影响着患者的治疗效果,对于提高医院的运营水平具有至关重要的作用。基于此,本研究对成本控制背景下的医疗设备维护保养进行较为详尽的探讨。

采管分离模式下医疗设备全生命周期管理实践探索

采管分离是医院医疗设备精细化管理的总体趋势。在采管分离模式下,科学地进行医疗设备全生命周期管理是一项重要课题。医疗设备全生命周期管理应当包括但不限于医疗设备立项论证、安装验收、设备标识和档案管理、操作培训及考核、维修维护、计量检测、不良事件上报与分析、清查处置等环节。本文结合南昌大学第二附属医院实践经验,探析采管分离模式下医疗设备全生命周期管理优化路径,为医院提升医疗设备管理水平提供参考。