摘要
目的:探讨全生命周期管理(TLCM)在超声影像设备维修费用管理中的应用效果。方法:选取2021年6月至2023年7月中日友好医院在用的30台超声影像设备,将2021年6月至2022年6月采用常规维护模式进行管理,2022年7月至2023年7月采用TLCM模式进行管理,比较不同管理模式下超声影像设备运行合格率和故障频次、设备使用满意度评分及设备运行及维修费用。结果:TLCM模式下,设备运行合格率为93.33%,高于常规维护模式(73.33%),差异均有统计学意义(χ^(2)=4.320,P<0.05)。TLCM模式下,超声影像开机时间短于于常规设备维护模式,差异有统计学意义(t=7.146,P<0.05)。TLCM模式下,设备长期使用故障率低于常规设备维护模式,差异有统计学意义(χ^(2)=4.443,P<0.05)。医护人员对TLCM模式下设备性能、时效和清洁度评分以及满意总评分均高于采用常规维护模式的设备,差异有统计学意义(t=3.955、5.872、6.368、8.214,P<0.05)。TLCM模式下,设备维修费用和运行成本均低于常规维护模式,差异有统计学意义(t=41.353、16.743,P<0.05)。结论:TLCM能够有效提高设备的运行合格率,降低维护成本和长期使用故障率,提升医护人员满意度。
Objective:To explore the application effect of Total Life Cycle Management(TLCM)in managing maintenance cost of ultrasound imaging equipment.Methods:Thirty ultrasound imaging equipment of the China-Japan Friendship Hospital from June 2021 to July 2023 were selected.From June 2021 to June 2022,a conventional maintenance mode was adopted to manage these equipment,and TLCM was implemented to manage them from July 2022 to July 2023.The qualified rate and failure frequency of the ultrasound imaging equipment,the satisfaction scores of medical staffs in using equipment,and the costs of operation and maintenance were compared between different management modes.Results:Under TLCM mode,the qualified rate was 93.33%,which was significantly higher than 73.33%under conventional maintenance mode,and the difference was significant(χ^(2)=4.320,P<0.05).Under TLCM mode,the boot-up time of ultrasound imaging equipment was shorter than that under the conventional maintenance mode,and the difference was significant(t=7.146,P<0.05).Under TLCM mode,the failure rate of long-term use of equipment was lower than that under conventional maintenance,and the difference was significant(χ^(2)=4.443,P<0.05).The satisfaction scores of medical staffs for the performance,efficiency,and cleanliness of equipment under TLCM mode were higher than those under conventional maintenance mode,and the differences of them between two modes were significant(t=3.955,5.872,6.368,8.214,P<0.05).Under TLCM mode,both maintenance costs and operational expenses were lower than those under conventional maintenance,and the differences of them between two modes were significant(t=41.353,16.743,P<0.05).Conclusion:TLCM can effectively enhance operationally qualified rate of equipment,and reduce maintenance costs and failure rate of equipment in long-term use,and improves the satisfaction of medical staff.
作者
李战国
王玉
闫慧芳
赵菁
Li Zhanguo;Wang Yu;Yang Huifang;Zhao Jing(Department of Medical Engineering,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中国医学装备》
2025年第4期174-177,共4页
China Medical Equipment
基金
国家卫生健康委医院管理研究所基于真实世界证据的医疗器械临床使用评价项目(20230523)。
关键词
全生命周期管理
超声影像设备
维修费用管理
Total life cycle management(TLCM)
Ultrasound imaging equipment
Management for maintenance cost
