基于医院信息化技术的医疗设备五维管理模型在超声诊断设备质量管理中的价值研究OA

Objective:To construct five-dimensional(5D)management model based on information technique of hospital for medical equipment,and explore application value of that in quality management for equipment of ultrasound diagnosis.Methods:A 5D management model for medical equipment was constructed on the basis of information technique of hospital,5D management(Strategy,Resources,Value,Competition,and Innovation),and the theories of comprehensive management and lean management that combined with management characteristics of medical equipment.From January 2022 to October 2024,5 used color Doppler equipment of ultrasound diagnosis of Wuhan No.1 Hospital and 106 patients who admitted to the hospital and received ultrasound examination were selected.The conventional management method was adopted to manage equipment during January 2022 and April 2023,while the management method of 5D management model based on information technique of hospital(5D model management method)was adopted to manage equipment during May 2023 and October 2024.The number of the cases that involved ultrasound examination were 53 cases in each management method.The consistency between ultrasound diagnosis and clinical result,the scores of management quality of equipment of ultrasound diagnosis,the scores of management for workflow,and incidence of defect events between two kinds of management methods were compared.A self-made satisfaction scale was used to evaluate the satisfaction of medical staffs and patients,who used ultrasound equipment.Results:The good rate of image quality of ultrasound diagnosis,and consistency rate between ultrasound diagnosis and clinical diagnosis of 53 patients of adopting 5D model management method were respectively 96.23%(51/53)and 94.34%(50/53),all of which were higher than those of conventional management method(x2=3.975,4.296,P<0.05).The scores for qualities of image storage,equipment function,equipment operation,software management and configuration management of equipment of ultrasound diagnosis of 5D model management method were all higher than those of conventional management method(t=7.793,8.175,6.183,7.175,5.605,P<0.05).The scores of inspection order,specification of"power on-off",timeliness of diagnostic report,standardization of diagnostic report,operation specification and time management in the workflow of equipment of ultrasound diagnosis of 5D model management method were all higher than those of conventional management method,and the differences were significant(t=5.907,3.988,4.449,4.969,3.578,3.286,P<0.05).The incidence of defect events of equipment of ultrasound diagnosis of 5D model management method was significantly lower than that of conventional management method(x2=4.970,P<0.05).The satisfaction of patients of 5D model management method was significantly higher than that of conventional management method(x2=4.296,P<0.05),and there was not statistically significant difference in the satisfaction of medical staffs between the two management methods(P>0.05).Conclusion:The 5D management model based on information technique of hospital for medical equipment can effectively improve the level of quality management for equipment of ultrasound diagnosis,and reduce the incidence of defect events of equipment management,and enhance the satisfaction of medical staffs and patients for using equipment.