血液透析机预防性维护对设备不良事件故障发生情况的改善成果

Improvement of equipment adverse event failure rate by preventive maintenance of hemodialysis machine

摘要:

目的 探讨对于血透设备，实施预防性维护保养后，能否产生积极的效果，减少故障发生率和降低不良事件以及保障患者的医疗服务，和医疗设备预防性维护保养的必要性。方法 对2020年至2022年血透设备故障发生情况的鱼骨图总结分析，寻找故障发生情况和不良事件产生之间的关系，及实施项目管理（PM）后不良事件和维修费用的对比进行探讨。结果 数据显示，预防性维护保养对设备的故障发生情况和不良事件有改善作用，积极地减少了故障发生次数。结论 工程师应积极从被动维修转变为主动维护保养，实施预防性维护，消除不应且不必要发生的故障，确保设备的运行稳定性，减少设备不良事件的发生。

关键词:血液透析机;故障;不良事件;预防性维护

Abstract:

Objective To explore whether the preventive maintenance of hemodialysis equipment can produce positive effects, reduce the incidence of failure and adverse events, and guarantee the medical services of patients and the necessity of preventive maintenance of medical equipment.Methods The fishbone diagram of the fault conditions of hemodialysis equipment from 2020 to 2022 was summarized and analyzed to find the relationship between the fault condition and the occurrence of adverse events, and the comparison of adverse events and maintenance costs after the implementation of preventive maintenance was discussed.Results The data from this paper show that preventive maintenance can improve the fault condition and adverse events of equipment, and positively reduce the frequency of failure.Conclusion Engineers should actively change from passive maintenance to active maintenance, implement preventive maintenance, eliminate unjustifiable and unnecessary faults, ensure the operation stability of equipment, and reduce the occurrence of adverse events.

Key words:hemodialysis dialyzer;fault condition;adverse events;preventive maintenance