摘要
目的血液透析机使用年限普遍较长,故障频发,为有效降低我院血液透析机的故障率,减少医院支出,本研究旨在形成一套新的血液透析机保养制度,即三级保养制度。方法利用我院血透信息管理系统对2022—2024年3年血液透析机所发生的故障次数、维修费以及所做的保养数据进行统计分析,找出设备故障共性及规律,从日常保养到脱机保养、上机保养,再到质量控制逐步制定出更合理的适合我院血液透析机的三级保养制度,结合信息化技术手段实现对血液透析机进行全生命周期的维护保养工作。结果新保养制度的制定与执行让我院血液透机在2024年故障率与2022年相比降低9.69%,年总维修费用节省50.33%。结论新制定的血透机三级保养制度包括血透机的日常保养、脱机保养、上机保养和质量控制,符合我院血透机实际情况,可以大幅降低血透机的故障率及减少支出,保障血液透析治疗安全稳定进行,同时帮助临床工程师实现从被动维修到主动维修的角色转变。
Objective Hemodialysis machines generally have a long service life and frequent malfunctions.In order to effectively reduce the failure rate of our hemodialysis machines,reduce hospital expenses,this research aim to form a new maintenance system for hemodialysis machines,namely the three-level maintenance system.Methods By using the hemodialysis information management system of our hospital,the number of faults,maintenance costs and maintenance data of the hemodialysis machines from 2022 to 2024 were statistically analyzed to identify the commonalities and patterns of equipment faults.From daily maintenance to offline maintenance,on-machine maintenance,and then to quality control,a more reasonable three-level maintenance system suitable for the hemodialysis machines of our hospital was gradually formulated.The maintenance and upkeep of hemodialysis machines throughout their entire life cycle were carried out by integrating information technology means.Results The formulation and implementation of the new maintenance system reduced the failure rate of our hospital’s hemodialysis machines by 9.69% in 2024 compared to 2022,and saved 50.33% in total annual maintenance costs.Conclusion The newly established three-level maintenance system for hemodialysis machines includes daily maintenance,offline maintenance,on machine maintenance,and quality control,which is in line with the actual situation of hemodialysis machines in our hospital.It can significantly reduce the failure rate of hemodialysis machines,reduce expenses,and ensure the safe and stable operation of hemodialysis treatment,simultaneously assist clinical engineers in transitioning from passive maintenance to active maintenance.
作者
杨凯
衣正阳
戴喜娟
王艳梅
YANG Kai;YI Zhengyang;DAI Xijuan;WANG Yanmei(Department of Medical Engineering,Yantai Yuhuangding Hospital,Yantai Shandong 264000,China;Hemodialysis Center,Yantai Yuhuangding Hospital,Yantai Shandong 264000,China)
出处
《中国医疗设备》
2025年第6期176-182,共7页
China Medical Devices
关键词
血液透析机
保养制度
脱机保养
上机保养
质量控制
DBB-27C
跨膜压
hemodialysis machine
maintenance system
offline maintenance
machine maintenance
quality control
DBB-27C
transmembrane pressure
作者简介
通信作者:王艳梅,副主任护师,主要研究方向为血液透析学。邮箱:yt-wym@163.com。
