基于FMEA的AK200S血液透析机维修决策研究
|
摘要
目的为了保障医院血液透析中心的透析质量及患者安全。方法将故障模式及影响分析法(Failure Mode and Effect Analysis,FMEA)理论引入AK200S型血液透析机的维修决策中,以专家小组的形式确定其故障的失效模式,并评估其潜在存在的风险。找到降低其风险的方法,并加以实际应用并持续评估改进。结果使用FMEA分析的方法将AK200S以故障后纠正性维修为主的模式转变为以预防性为主的维修模式,有效降低了其潜在存在的失效模式风险。结论 FMEA理论的运用能有效降低医疗设备使用中存在的安全风险,但也存在着一定的局限性,需要管理者在实际应用中不断总结经验,并结合其他管理工具来灵活运用。
Objective To ensure the quality of dialysis and patient safety in the hospital hemodialysis center. Methods This paper introduced the failure mode and effect analysis(FMEA) theory into the maintenance decision of the AK200 S hemodialysis machine, determined the failure mode of the failure in the form of a panel of experts and assess the potential risks. And found ways to reduce their risk, apply it and continue to evaluate improvements. Results Post-fault corrective maintenance of the AK200 S was transformed into a preventive maintenance mode by the FMEA analysis method, and it effectively reduced its potential failure mode risk. Conclusion The application of FMEA theory can effectively reduce the safety risks in the use of medical equipment, but it also has certain limitations, requires managers to continuously sum up experiences in practical applications and use them in combination with other management tools.
Objective To ensure the quality of dialysis and patient safety in the hospital hemodialysis center. Methods This paper introduced the failure mode and effect analysis(FMEA) theory into the maintenance decision of the AK200 S hemodialysis machine, determined the failure mode of the failure in the form of a panel of experts and assess the potential risks. And found ways to reduce their risk, apply it and continue to evaluate improvements. Results Post-fault corrective maintenance of the AK200 S was transformed into a preventive maintenance mode by the FMEA analysis method, and it effectively reduced its potential failure mode risk. Conclusion The application of FMEA theory can effectively reduce the safety risks in the use of medical equipment, but it also has certain limitations, requires managers to continuously sum up experiences in practical applications and use them in combination with other management tools.
引文
[1]王质刚.血液净化设备与临床[M].北京:人民军医出版社,2006:1-2.
[2]Rosen MA,Lee BH,Sampson JB,et al.Failure mode and effects analysis applied to the maintenance and repair of anesthetic equipment in an austere medical environment[J].Int J Qual Health Care,2014,26(4):404-410.
[3]邓晨晖,梁国君,方素娟.FMEA风险管理模式在术中压疮预防中的应用[J].国际医药卫生导报,2012,18(12):1701-1702.
[4]Lo HW,Liou JJH.A novel multiple-criteria decisionmaking-based FMEA model for risk assessment[J].Appl Soft Comput,2018,73:684-696.
[5]车绥元.基于FMEA和FTA的医用蒸汽灭菌器可靠性分析[D].呼和浩特:内蒙古大学,2018.
[6]孟刚,王衫,王兰明,等.可靠性研究在保障医疗器械安全、有效中的作用[J].中国医疗器械信息,2007,13(6):43-46.
[7]Catelani M,Ciani L,Venzi M.Venzi.Failure modes,mechanisms and effect analysis on temperature redundant sensor stage[J].Reliab Eng Syst Safe,2018,180.
[8]李金宝.金宝AK200S血透机气密测试故障维修分析[J].中国卫生产业,2013,(23):180-181.
[9]康锐.可靠性维修性保障性工程基础[M].北京:国防工业出版社,2012:224-250.
[10]成定胜,仲辉,吉小静,等.血液透析专职工程师质量控制工作探索与实践[J].中国医学装备,2018,15(6):127-129.
[11]邓玉婷.金宝AK200S型血液透析机故障维修案例[J].中国医学装备,2017,14(6):181-182.
[12]何宇,郭赤.基于质量控制检测的血透机预防性维修模式的可行性探讨[J].中国医学装备,2014,11(11):60-61.
[13]刘晏明,熊贵富,廖娟.血液透析机质量控制的研究及探讨[J].中国医疗设备,2018,33(9):49-52.
[14]许华柱,梁霞,刘丽.应用FMEA优化医用织物管理流程[J].中国医院建筑与装备,2017,18(8):78-81.
[15]张悦,夏玲.失效模式和效应分析在护理流程管理中的应用[J].护理学杂志,2013,28(4):95-96.
[16]王志,黄良.使用FMEA分析方法改进危急值报告与处理流程[J].实验与检验医学,2017,35(6):950-951.C
[2]Rosen MA,Lee BH,Sampson JB,et al.Failure mode and effects analysis applied to the maintenance and repair of anesthetic equipment in an austere medical environment[J].Int J Qual Health Care,2014,26(4):404-410.
[3]邓晨晖,梁国君,方素娟.FMEA风险管理模式在术中压疮预防中的应用[J].国际医药卫生导报,2012,18(12):1701-1702.
[4]Lo HW,Liou JJH.A novel multiple-criteria decisionmaking-based FMEA model for risk assessment[J].Appl Soft Comput,2018,73:684-696.
[5]车绥元.基于FMEA和FTA的医用蒸汽灭菌器可靠性分析[D].呼和浩特:内蒙古大学,2018.
[6]孟刚,王衫,王兰明,等.可靠性研究在保障医疗器械安全、有效中的作用[J].中国医疗器械信息,2007,13(6):43-46.
[7]Catelani M,Ciani L,Venzi M.Venzi.Failure modes,mechanisms and effect analysis on temperature redundant sensor stage[J].Reliab Eng Syst Safe,2018,180.
[8]李金宝.金宝AK200S血透机气密测试故障维修分析[J].中国卫生产业,2013,(23):180-181.
[9]康锐.可靠性维修性保障性工程基础[M].北京:国防工业出版社,2012:224-250.
[10]成定胜,仲辉,吉小静,等.血液透析专职工程师质量控制工作探索与实践[J].中国医学装备,2018,15(6):127-129.
[11]邓玉婷.金宝AK200S型血液透析机故障维修案例[J].中国医学装备,2017,14(6):181-182.
[12]何宇,郭赤.基于质量控制检测的血透机预防性维修模式的可行性探讨[J].中国医学装备,2014,11(11):60-61.
[13]刘晏明,熊贵富,廖娟.血液透析机质量控制的研究及探讨[J].中国医疗设备,2018,33(9):49-52.
[14]许华柱,梁霞,刘丽.应用FMEA优化医用织物管理流程[J].中国医院建筑与装备,2017,18(8):78-81.
[15]张悦,夏玲.失效模式和效应分析在护理流程管理中的应用[J].护理学杂志,2013,28(4):95-96.
[16]王志,黄良.使用FMEA分析方法改进危急值报告与处理流程[J].实验与检验医学,2017,35(6):950-951.C