摘要
目的掌握浙江省医疗机构在用高风险医疗设备的质量控制状况并提出改进措施,以促进高风险医疗设备质量控制水平的提升。方法将浙江省所有的三级甲等公立医院、三级乙等公立医院、二级甲等公立医院、二级乙等公立医院和私立医院纳入调查对象。于2020年8—9月,对医疗机构7种在用高风险医疗设备的质量控制方式、质量控制是否规范等进行问卷调查。采用Excel对回收问卷进行数据整理和描述性统计分析。结果浙江省96家医疗机构对高风险医疗设备的质量控制方式选择具有不同的倾向性,三级公立医院倾向于自行质量控制,除医用电子加速器外,对其余6种设备自行质量控制的比例为40%~59%;二级公立医院和私立医院倾向于委托第三方检测机构进行质量控制,除医用电子加速器未配置外,其余6种设备的比例分别为46%~67%和46%~100%。部分医疗机构的质量控制存在不规范行为,7种高风险设备质量控制设备未经溯源的比例为0%~28%,平均16%;无相关资质的第三方质量控制比例为0%~14%,平均2%。结论浙江省医疗机构对高风险医疗设备进行质量控制的意识普遍较强,但仍存在不少问题,未来需持续提升基于医学计量的高风险医疗设备质量控制水平,重点关注医用设备管理部门技术能力的提高、质量检测设备的溯源以及对第三方检测机构的监督抽查。
Objective To master the quality control status of high-risk medical equipment of medical institutions in Zhejiang province,and to put forward improvement measures to promote the quality control level of high-risk medical equipment.Methods All the tertiary public hospitals,second-class public hospitals and private hospitals in Zhejiang were investigated.A questionnaire survey was conducted on the quantity,quality control methods and quality control specifications of high-risk medical equipment used by the medical institutions.Excel was used for data collation and descriptive statistical analysis of the questionnaire.Results The quality control methods of high-risk medical equipment in 96 medical institutions in Zhejiang had different tendencies.The tertiary public hospitals tended to conduct quality control on their own,and the second-class public hospitals and private hospitals tended to choose third-party testing institutions for quality control.In addition,there were irregularities in quality control of some medical institutions.16% of the quality control equipment in self-control mode was not traceable,and 2% of the third-party testing organizations had no relevant qualifications.Conclusions Medical institutions in Zhejiang generally have a strong awareness of quality control of high-risk medical equipment.But there are some unsolved problems remained in quality control.In the future,we should continue to improve the quality control level of high-risk medical equipment based on medical measurement,as well as to focus on the improvement of the technical ability of medical equipment management departments,the traceability of quality inspection equipment,and the supervision and spot check of third-party testing institutions.
作者
解卓丽
陈灿
梅杰
颜迪新
Xie Zhuoli;Chen Can;Mei Jie;Yan Dixin(Institute of Medicine and Ionizing Radiation Metrology of Zhejiang Academy of Metrology,Hangzhou 310018,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2021年第10期852-855,共4页
Chinese Journal of Hospital Administration
关键词
质量控制
医学计量
现状分析
高风险医疗设备
Quality control
Medical metrology
Status analysis
High-risk medical equipment
