Abstract
Objective:To construct a quality analysis model by combining the strengths-weaknesses-opportunities-threats(SWOT)analysis method and analytic hierarchy process(AHP),and to explore its application value in the quality management for operation of first aid equipment of hospital.Methods:The advantages,disadvantages,opportunities and threats of management for equipment were analyzed according to SWOT model,and the operation quality of equipment was positioning analyzed by AHP,and comprehensive management countermeasures were formulated from the aspects of personnel,system,preventive maintenance,information management and cooperation between institutes and enterprises.A total of 215 first aid equipment in clinical use in Qilu Hospital of Shandong University from January 2021 to December 2024 were selected.In these equipment,171 equipment from January 2021 to December 2022 were managed by using the conventional management mode,and 195 equipment(including 151 using equipment under the conventional management mode and 44 newly added equipment)from January 2023 to December 2024 were managed by using the strategic management mode with quality analysis model.The operation quality and management level of the two management modes for the equipment were compared.A self-made survey questionnaire was used to investigate the satisfaction scores of nurses of operating equipment,doctors of clinical department,medical engineers and administrators for the service effects of equipment under the two management modes,who use and manage the first aid equipment in hospital.Results:The average failure rate,risk rate,alarm rate and unqualified rate of first aid equipment in hospitals,which adopted the strategic management mode,were respectively(0.72±0.42)%,(1.08±0.70)%,(1.18±0.48)%and(1.33±0.63)%,all of which were lower than those of the conventional management mode,and the differences were statistically significant(t=3.629,2.792,2.179,2.396,P<0.05).The management level scores of monitors,ventilators,defibrillators,high-frequency electrosurgical knives and other first aid equipment,which adopted the strategic management mode,were respectively(94.69±1.68),(95.84±2.52),(95.38±2.85),(95.69±2.02)and(94.17±4.89)points,all of which were higher than those of the conventional management mode,and the differences were statistically significant(t=4.797,2.403,2.390,3.825,2.196,P<0.05).The satisfaction scores of nurses of operating equipment,doctors of clinical department,medical engineers and administrators for first aid equipment of adopting strategic management mode were all higher than those of adopting conventional management mode,and the difference were statistically significant(t=3.666,3.336,4.275,4.292,P<0.05).Conclusion:The quality analysis model of first aid equipment of hospital can improve the operation quality and management level of first aid equipment,and reduce the equipment's failure rate and the unqualified rate of quality inspection,and improve the service effect of first aid equipment.关键词
态势分析法(SWOT)/层次分析法(AHP)/急救装备/预防性维修/信息化管理Key words
Strengths-weaknesses-opportunities-threats(SWOT)/Analytic hierarchy process(AHP)/First aid equipment/Preventive maintenance/Information management分类
医药卫生
