中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (11): 786-789.doi: 10.3969/j.issn.1671-4091.2020.11.017

• 血液净化中心管理 • 上一篇    下一篇

基于层次分析法与德尔菲法的血液透析机报废评价体系的构建与应用

李潇1,魏双林3,刘伟军3,张岩郅2,常骁毅4,鲁曼君5,李敏娟1   

  1. 宝鸡市中心医院1医学装备科2血液透析室
    3陕西省人民医院医学装备部
    4西安交通大学第一附属医院国有资产管理办公室
    5陕西省计量科学研究院医疗设备计量中心

  • 收稿日期:2020-06-23 修回日期:2020-08-26 出版日期:2020-11-12 发布日期:2020-11-05
  • 通讯作者: 刘伟军 liuweijun_84@163.com E-mail:liuweijun_84@163.com
  • 基金资助:

    医院临床医学工程创新团队(2017KCT-36)；国产医疗设备在基层医院推广使用策略研究(2016KRM136)；

    基于方法论和数学模型的大型医用设备的配置优化研究(2019KRM115)；

    基于门诊医技资源合理调度的预约排程优化的方法体系研究[2019114613YX001SF043(7)]

The construction and application of a system for the evaluation of useless hemodialysis machines based on analytical hierarchy process and Delphi methods

  1. 1Department of Medical Equipment and 2Hemodialysis Center, Baoji Central Hospital, Baoji 721008, China;  3Department of Medical Equipment, Shaanxi Provincial People's Hospital, Xi'an 710068, China;  4State-owned Assets Management Office, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China;  5Medical Equipment Measurement Center, Shaanxi Institute of Metrology, Xi'an 710065, China
  • Received:2020-06-23 Revised:2020-08-26 Online:2020-11-12 Published:2020-11-05

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摘要： 【摘要】目的构建血液透析机报废评价体系，使该类医疗设备报废决策及流程更加完善及合理。方法以宝鸡市中心医院血液透析机使用情况为例，采用层次分析法构建报废评价指标体系，采用德尔菲法确定各级指标权重，制定评价标准，计算评价总分并对其分段处置。结果对我院34 台血液透析机进行评价，准予报废共有4台，与科室提出报废申请的实际情况保持一致；预备报废共有6 台，通过改变该类设备的功能参数和使用属性使配置效益最大化；正常使用共有5台，建议加强该类设备的预防性维修工作；良好使用共有18台，该类设备只需日常维护即可正常使用。结论该体系的应用改变了以往血液透析机报废评价过程中流于形式、无法量化的问题，将报废评价客观化、系统化、直观化，对加强医疗设备的全生命周期管理和质量控制工作有促进和指导作用。

关键词: 层次分析法, 德尔菲法, 血液透析机, 报废评价体系, 构建与应用

Abstract: 【Abstract】Purpose To construct a system for the evaluation of useless hemodialysis machines and to improve a decision- making and technological process for the disposal of useless hemodialysis machines. Method Taking the use of hemodialysis machines in Baoji Central Hospital as an example, an evaluation system for obsolescent hemodialysis machines was established by using the analytical hierarchy process (AHP). The weight of all indicators was determined by using the Delphi method. The evaluation criteria were then developed. Total evaluation score of the equipment was calculated, and disposal of the equipment was conducted in sections. Result A total of 34 hemodialysis machines in our hospital were evaluated. Four units were approved to be scrapped, consistent with the content reported by the department. Six sets were ready to be scrapped; the configuration benefit was maximized by changing the functional parameters and use attributes of the equipment. There were 5 sets in normal use; their preventive maintenance needed to be enhanced. There were 18 sets of equipment in better status; daily maintenance is required for their normal performances. Conclusion The application of this evaluation system resolved the problems that were merely formal and unable to be quantified in the evaluation process of useless hemodialysis machines. Objective, systematic and intuitive
evaluation of scrapping promotes and guides the whole life cycle management and quality control of the medical equipment.

Key words: Analytical hierarchy process, Delphi method, Hemodialysis machine, Scrap evaluation system, Construction and application

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