层次分析法在内镜中心医疗设备精细化管理中的应用

  目的  研究层次分析法在构建内镜中心医疗设备使用精细化管理中的应用效果，为内镜中心医疗设备精细化管理措施的制定提供理论参考。  方法  选择2019年1月—2021年9月温州医科大学附属第一医院内镜中心245件内镜医疗设备和46名医护人员作为研究对象，根据随机数表法将内镜设备分成对照组(n=123)和实验组(n=122), 另外根据内镜设备使用情况，将医护人员分成对照A组和实验B组，各23名。对照组医疗设备采用常规管理，实验组医疗设备在常规管理基础上采用层次分析法实施管理。观察内镜中心医疗设备的使用不当发生率、综合管理效果以及医护人员对内镜医疗设备使用的满意度。  结果  实验组内镜医疗操作安全事故、未按要求填写记录、违规操作发生率均明显低于对照组，差异有统计学意义(均P＜0.05)；实验组内镜医疗设备的清洗合格、发放准确、回收合格、使用追溯合格均高于对照组，差异有统计学意义(均P＜0.05)；实验B组医护人员对内镜医疗设备使用的满意度为95.65%(22/23)，高于对照A组的73.91%(17/23)，差异有统计学意义(P＜0.05)。  结论  层次分析法在构建内镜中心医疗设备使用精细化管理中的应用效果确切，能减少设备使用不当发生率，提高医疗设备综合管理效果，进一步提升医护人员对内镜医疗设备使用的满意度。 

Application of analytic hierarchy process in refined management of medical equipment in endoscopy center

  Objective  To study the application effect of Analytic Hierarchy Process in the construction of a risk prediction system for improper use of medical equipment in endoscopy centers.  Methods  From January 2019 to September 2021, 245 pieces of endoscopic medical equipment and 46 medical staff in the Endoscopy Center of the First Affiliated Hospital of Wenzhou Medical University were selected as the research objects. According to the random number table method, the endoscopic equipment was divided into the control group (n=123) and the experimental group (n=122). In addition, according to the use of endoscopic equipment, medical staff were divided into control group A and experimental group B. The medical equipment in the control group was managed by conventional management, and the medical equipment in the experimental group was managed by the analytic hierarchy process on the basis of routine management. To observe the incidence of improper use of medical equipment in the endoscopic center, the comprehensive management effect, and the satisfaction of medical staff on the use of endoscopic medical equipment in the two groups.  Results  The incidence of failures, failure to fill in records as required, and illegal operations of the endoscopic medical equipment in the experimental group were lower than those in the control group, the difference was statistically significant (all P < 0.05); The cleaning qualification rate, distribution accuracy rate, recovery qualification rate, and disinfection/sterilization qualification rate of the endoscopic medical equipment in experiment group were higher than those in the control group, the difference was statistically significant (all P < 0.05); The satisfaction of medical staff in the experimental group B with the use of endoscopic medical equipment was 95.65% (22/23), which was higher than that in the control group A by 73.91% (17/23), the difference was statistically significant (P < 0.05).  Conclusion  The application effect of the analytic hierarchy process in the construction of the risk prediction system for improper use of medical equipment in the endoscopy center is accurate, which can reduce the incidence of improper use, improve the comprehensive management effect of medical equipment, and further improve the satisfaction of medical staff on the use of endoscopic medical equipment.