通过HFMEA过程改进生理监测器的运行维护方法:一个经验案例研究
Jen-Shu Chia1, Ching Chang2, Chen-Hsuan Yang3
1Program of Technology Management.
Annals of medicine and surgery (2012)
|August 9, 2023
概括
医疗保健故障模式和影响分析 (HFMEA) 确定了维护合同问题作为重症监护室 (ICU) 的生理监视器的高风险因素. 改进维护程序可以提高设备的可用性.
科学领域:
- 医疗工程 医疗工程
- 医疗保健中的风险管理
- 临床工程 临床工程
背景情况:
- 在重症监护室 (ICU) 中,生理监测器至关重要.
- 这些设备的运行维护对于患者的安全和护理质量至关重要.
- 需要积极的风险评估方法来确保设备的可靠性.
研究的目的:
- 应用医疗保健故障模式和影响分析 (HFMEA) 来识别和评估ICU生理监视器维护中的风险.
- 评估维护策略对生理监视器操作可用性的影响.
主要方法:
- 一种使用定性和定量数据的混合方法方法.
- 在ICU内对20个生理监测单元进行分析.
- 组建一个HFMEA专家团队,以基于风险的分析和减轻风险.
主要成果:
- 确定了一个高风险危险指数 (≥8),与制造商的维护合同和零件更换有关.
- 该研究发现,合同制造商的维修导致了较高的操作可用性 (99.2%),而不是自我维修 (90.9%).
- 维护疏忽被确定为导致设备故障的重要因素.
结论:
- 在医疗保健维护方面,HFMEA是系统风险评估的宝贵工具.
- 危险故障分数≥8对于维护重症监护设备的决策至关重要.
- 优化维护合同和程序对于确保ICU中的生理监测器可靠性至关重要.
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