Capability analysis and improvement research of surgical equipment management capability based on maturity assessment model / 中国医学装备

ABSTRACT

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.1 621 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%(54/1 621)and 7.28%(118/1 621)rated as grade A and Grade B were lower than those in control mode,while 60.76%(985/1 621)and 28.62%(464/1 621)rated as grade C and grade D were higher than those in control mode.The difference was statistically significant(x2=132.402,x2=411.692,x2=120.166,x2=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.