故障模式和影响分析在监护仪维护维修中的应用
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摘要
目的研究将故障模式和影响分析方法应用于医疗设备维护维修决策的可行性。方法通过与工程师开展故障模式和影响分析会议,讨论监护仪的维护维修过程,以及整个维护维修过程中所可能涉及的故障模式,包括资源供应短缺,沟通障碍,操作错误和对设备的物理访问受限等。结果形成解决方案,包括优化备件获取流程,改进工作流程,分级监督以及改善对设备物理访问等。通过一年的跟踪随访表明形成的解决方案得到了执行并且是有效的。结论证明了将故障模式和影响分析方法应用于医疗设备维护维修决策的可行性。
Objective To study the feasibility of applying failure mode and effects analysis to maintenance and repair strategy for medical equipment. Methods In the failure mode and impact analysis meeting with engineers, maintenance and repair processes for the monitors and failure modes in the procedure of maintenance could involve were discussed,including resource supply shortages, communication challenges, use errors and lack of physical access to the machine and so on. Results Solutions were generated: including optimizing spare parts acquisition processes, improving work processes,hierarchical monitoring, and improving physical access to the machine and so on. One-year follow-up interviews indicated solutions generated were implemented and perceived to be effective. Conclusion It is demonstrated that it is feasible to apply failuro mode and impact analysis method in medical equipment maintenance decision.
Objective To study the feasibility of applying failure mode and effects analysis to maintenance and repair strategy for medical equipment. Methods In the failure mode and impact analysis meeting with engineers, maintenance and repair processes for the monitors and failure modes in the procedure of maintenance could involve were discussed,including resource supply shortages, communication challenges, use errors and lack of physical access to the machine and so on. Results Solutions were generated: including optimizing spare parts acquisition processes, improving work processes,hierarchical monitoring, and improving physical access to the machine and so on. One-year follow-up interviews indicated solutions generated were implemented and perceived to be effective. Conclusion It is demonstrated that it is feasible to apply failuro mode and impact analysis method in medical equipment maintenance decision.
引文
[1]李超,明锐奇,张伶,等.心电监护仪质控检测结果的对比研究[J].中国医疗设备,2017,32(8):93-95.
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[8]何贞.重症监护室心电监护仪维修保养对使用效果的影响[J].医疗装备,2018,31(9):160-161.
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[10]张雷,张鹏,李巍,等.迈瑞监护仪PM9000维修实例及日常维护[J].中国医学装备,2012,9(12):109-110.
[11]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].Inter J Qual Health Care,2014,26(4):404-410.
[12]邓超,陶志奎.基于FMEA和FTA的脚踝康复机器人可靠性分析[J].机器人技术与应用,2018,9(1):27-33.
[13]Wexler A,Gu B,Goddu S,et al.FMEA of manual and automated methods for commissioning a radiotherapy treatment planning system[J].Med Phys,2017,44(9):4415-4425.
[14]Harry T,Yaddanapudi S,Cai B,et al.Risk assessment of a new acceptance testing procedure for conventional linear accelerators[J].Med Phys,2017,44(11):5610-5616.
[15]Israelski EW,Muto WH.Human factors risk management as a way to improve medical device safety:a case study of the therac 25 radiation therapy system[J].Joint Comm J Qual Safety,2004,30(12):689-695.
[16]DeRosier J,Stalhandske E,Bagian JP,et al.Using health care failure mode and effect analysis:the VA National Center for Patient Safety's prospective risk analysis system[J].Joint Comm J Qual Impr,2002,28(5):248-267.C
[2]严振才,李平,杨萍,等.便携式多参数监护仪的工作原理与维修案例分析[J].中国医学装备,2018,15(4):134-135.
[3]孙凤国.医用多参数监护仪常见故障分析与排除方法[J].中国医疗设备,2010,25(10):121-122.
[4]徐贤叁,邵健,张峰.PM8000监护仪故障维修实例[J].中国医疗设备,2013,28(3):144-145.
[5]王魏,李振彪.MP20/MP30型心电监护仪的维护保养[J].中国医学装备,2012,9(1):73-74.
[6]叶淑华,石鑫,郑艳珠,等.心电监护仪常见故障维修[J].中国医学装备,2014,11(9):126-127.
[7]兰茶研.多参数监护仪的维修与维护[J].医疗装备,2018,31(17):153-154.
[8]何贞.重症监护室心电监护仪维修保养对使用效果的影响[J].医疗装备,2018,31(9):160-161.
[9]徐小光.多参数监护仪的临床使用及维护[J].中国医疗设备,2011,26(6):118-119.
[10]张雷,张鹏,李巍,等.迈瑞监护仪PM9000维修实例及日常维护[J].中国医学装备,2012,9(12):109-110.
[11]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].Inter J Qual Health Care,2014,26(4):404-410.
[12]邓超,陶志奎.基于FMEA和FTA的脚踝康复机器人可靠性分析[J].机器人技术与应用,2018,9(1):27-33.
[13]Wexler A,Gu B,Goddu S,et al.FMEA of manual and automated methods for commissioning a radiotherapy treatment planning system[J].Med Phys,2017,44(9):4415-4425.
[14]Harry T,Yaddanapudi S,Cai B,et al.Risk assessment of a new acceptance testing procedure for conventional linear accelerators[J].Med Phys,2017,44(11):5610-5616.
[15]Israelski EW,Muto WH.Human factors risk management as a way to improve medical device safety:a case study of the therac 25 radiation therapy system[J].Joint Comm J Qual Safety,2004,30(12):689-695.
[16]DeRosier J,Stalhandske E,Bagian JP,et al.Using health care failure mode and effect analysis:the VA National Center for Patient Safety's prospective risk analysis system[J].Joint Comm J Qual Impr,2002,28(5):248-267.C