Currently, the hospital medical equipment, fixed assets accounting for the proportion is increasing. Of Zhejiang Province, the major hospital medical equipment, hospital fixed assets accounted for 1 / 3 to 1 / 2, the amount to several hundred million dollars from tens of millions of yuan range. How to use medical equipment in the application of scientific and efficient management has become the normal operation of the hospital in one of the basic work is very important. It also asked the medical management of medical equipment medical equipment in use must have a scientific, rigorous, efficient, development of management thinking and management tools, and transactional management model can not meet the development needs, the need for management of all system theory to guide the process of establishing standards for the systematic management model, changing only in transactional work Gangjumuzhang to advanced management philosophy of continuous self-improvement in order to adapt to the environmental development.
Reporters in June 2005 with the Health Department of Zhejiang Province, organized delegation of medical device management technology to Germany for a number of medical institutions were investigated to understand the management of its medical equipment and management systems, medical equipment procurement management, quality assurance of medical devices and risk management. German hospitals in the medical equipment management, strategy and daily management measures, there are many advanced concepts and methods we can learn, learn.
Clinical Engineering Department is the primary sector in the German hospital medical equipment to ensure the success of the role of an important sector, the project managers, biomedical engineers, clinical engineers and other accessories. According to focus on work, the department can be divided into: one of the main department responsible for maintenance, parts replacement referrals, routine maintenance and repair, project management; department two main responsible for procurement, inspection equipment (including safety and function tests), project registration, records management, contract management, the reported loss and replacement of equipment. Just from the division of labor, it seems that with the country\\ s hospitals is no different, but the number of personnel and technical standards are obviously better than the national hospital.
■ advanced facilities
In Germany, medical institutions, clinical engineering work from the actual workplace considerations, clinical technology and clinical engineering departments generally adjacent to an emergency to facilitate a timely response, which is the country\\ s hospitals located in the basement of the Equipment Division , the edge of the corner there are obvious differences.
Münster University Hospital and the San Lucas at the hospital clinical engineering department, maintenance area are equipped with cranes and all kinds of line maintenance tools, equipment and a large number of monitoring equipment (such as electrical safety analyzers, ecg simulators, defibrillator analyzers, infusion pump analyzer, electro-surgical device analyzer, digital multimeter, oscilloscope, and x-ray inspection equipment, etc.), and a full range of machine tool facilities, maintenance engineers table facade design is also very reasonable, and a variety of interfaces, and a sound grounding protection.
■ work initiative
German hospital clinical engineering department has a clear mode characteristic – medical equipment for clinical passive, less maintenance, proactive, planned, preventive maintenance (pm) very well. This is because the law forced the hospital for safety and quality control. In Germany, health care institutions in the management of medical devices are legally binding, the iec, iso and eu norms of a large number of standards, recommendations and pointers, must be strictly managed in accordance with prescribed procedures. pm is one of the important content. pm is the regular monitoring of medical equipment, maintenance and quality assurance, its main purpose is to reduce the use of equipment failure caused by medical malpractice; to ensure safe and effective; extend equipment life, reduce equipment cycle costs; to comply with relevant laws and regulations requirements.
Establishment of such a management system requires the following procedures pm: First of equipment risk analysis, a clear risk level to determine the test items, cycle, step; employ relevant staff, the purchase of the necessary testing equipment; determine the device\\ s detection cycle, according to the need to observe test results and test the device\\ s state of the project cycle to adjust.
pm steps are: regular maintenance (including lubrication, adjustment, etc.), performance testing, electrical safety testing, test data recording equipment, labeling. Only for the general visual equipment, conventional and environmental testing. However, the sensitivity for high-maintenance equipment would need to follow these steps to carry out step by step. For example, Münster University Hospital, Department of Biomedical Engineering, with a separate ventilation pm departments, each ventilator use, ventilator requirements of both internal and external piping for perfect cleaning, disinfection, machine maintenance, preventive maintenance , functional testing, the final label, clinical sign engineer to ensure that the next patient use the safe operation of respiratory function, a hundred percent good. Because properly maintained, many in the country has basically been out of the old model is still normal breathing machine, both to ensure the safe and saving medical equipment investment. Of course, also be equipped with a certain amount of spare equipment used for working capital.
In Cummings large hospitals, medical engineering department established a computer program management of the pm program; Department of Biomedical Engineering at the San Lucas Hospital, in the labeling with the device management – file management device with bar code labels can be used hand-held barcode readers and handheld computers simple and accurate fixed asset management, as well as to confirm the date of the management and maintenance of equipment pm confirmation mark.
■ participate in the management
German hospital clinical engineering department, including not only the conventional sense of the functions of procurement, inspection, training, maintenance, repair and asset management, is also involved in the development of hospital policy goals, such as hospitals and infrastructure projects, the financial cost accounting, clinical research projects working for the realization of the hospital efficient running low, make a significant contribution to technological development; appropriate, the department has also been the hospital management\\ s attention, in terms of staffing, training and other aspects of the hospital\\ s support.
Recommendations in the medical engineering department and management, procurement of equipment into the hospital very rational, but the quality control management is a big investment, including advanced testing equipment, cleaning and disinfection of equipment; In addition, equipment management and technical personnel are highly professional skills from routine equipment operation, basic theory, computer applications as well as board-level repair, metal processing, measuring and testing should be a certain degree of proficiency, confirms the quality of medical engineers to improve their own professional development is a fundamental discipline.
Contrast our case, the domestic medical institutions Clinical Engineering Division has experienced decades of development from scratch, to the 1990s has a certain scale. However, in recent years, with the medical device technology development and introduction of a large number, medical engineering department of the hospital but appeared functional weakening of the phenomenon of loss of personnel. The reason is because China has not addressed the medical institutions in the quality management of medical device laws and regulations. Medical institutions has yet to create a complete set of scientific management, hospital leaders re-purchase of equipment, light management; engineering and technical personnel not actively involved in clinical medicine and effective implementation of the quality control of medical devices.
Various medical institutions in Germany, under the constraints of the relevant laws and regulations, medical institutions and medical staff with clinical engineering and other disciplines on the development status of the investment in medical equipment, use, maintenance and quality control from the dominant position. This will help ensure the continued development of medical technology and medical safety and quality.