Research on ventilator management pathway based on three-dimensional quality evaluation model
10.3969/j.issn.1672-8270.2024.12.027
- VernacularTitle:基于三维质量评价模型的呼吸机管理路径研究
- Author:
Yongsheng MA
1
;
Kewei XU
;
Lin CAI
;
Jian GUO
;
Liangsheng YANG
;
Hong ZHOU
Author Information
1. 中国人民解放军西部战区总医院医学工程科 成都 610083
- Publication Type:Journal Article
- Keywords:
Three-dimensional quality evaluation mode;
Operation quality;
Comprehensive evaluation;
Entropy weight method;
Ventilator
- From:
China Medical Equipment
2024;21(12):148-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of ventilator management path based on three-dimensional quality evaluation model in ventilator management. Methods:Based on the structure-process-outcome model (referred to as the three-dimensional quality evaluation model),the evaluation index system of ventilator service management was developed. The service quality algorithm was used to conduct comprehensive evaluation of service quality,and the structural optimization,process strengthening and outcome-oriented measures of ventilator equipment service management were developed. A total of 62 ventilators in clinical use in General Hospital of the Western Theater Command of the PLA from January to June 2023 were selected,and the 50 ventilators used from January to March adopted the conventional experience management model (referred to as experience management model),the 50 ventilators (including 38 in use in the experience management model) from April to June adopted the ventilator management path based on three-dimensional quality evaluation model (referred to as the model management model). The self-made satisfaction questionnaire was used to investigate the satisfaction of ventilator patients with equipment service quality,and the comprehensive evaluation difference score of equipment service quality and equipment operation quality of the two management modes were compared. Results:The comprehensive evaluation difference scores of equipment structure service quality,process service quality and outcome service quality of the model management mode were (0.08±0.06) points,(0.11±0.07) points and (0.05±0.04) points,respectively,which were lower than those of the experience management mode,the difference was statistically significant (Z=2.290,2.024,2.724,P<0.05). The average satisfaction of patients on ventilator therapy in the ICU wards of the department of respiratory and critical care medicine,department of intensive care unit,department of emergency and other departments was (95.66±1.74)％,(96.51±1.37)％,(95.93±1.67)％ and (96.56±1.28)％,respectively,which were higher than those of the experience management mode,the difference was statistically significant (Z=3.624,3.854,3.368,2.799,P<0.05). The average start-up operation rate and quality inspection pass rate of ventilator equipment were (95.38±1.67)％and (95.44±1.71)％,respectively,which were higher than those of experience management mode;the average failure rate was (1.23±0.98)％,which was lower than that of experience management mode,the difference was statistically significant (Z=2.219,2.733,3.005,P<0.05). Conclusion:The application of ventilator management path based on three-dimensional quality evaluation model can improve the quality of ventilator clinical service,enhance the satisfaction of clinical service,and improve the operation quality of equipment.
