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<fieldset class="" style="margin: 1em; max-width: 100%; box-sizing: border-box; min-width: 0px; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; text-align: inherit; white-space: normal; border: 1px solid rgb(192, 200, 209); text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important; background-color: rgb(239, 239, 239);"><section class="" style="margin-top: -1em; margin-right: 16px; margin-left: 16px; max-width: 100%; box-sizing: border-box; border: none; line-height: 1.4; word-wrap: break-word !important;"><span class="" style="padding: 3px 8px; max-width: 100%; box-sizing: border-box; display: inline-block; border-radius: 4px; color: rgb(255, 255, 255); font-size: 1em; text-align: center; font-family: inherit; font-weight: inherit; text-decoration: inherit; border-color: rgb(95, 156, 239); word-wrap: break-word !important; background-color: rgb(95, 156, 239);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">摘要</section></span></section><section class="" style="padding: 16px; max-width: 100%; box-sizing: border-box; font-size: 1em; line-height: 1.4; font-family: inherit; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 176, 80); box-sizing: border-box !important; word-wrap: break-word !important;">重医轻工？俗话说，“封建”思想要不得。负责医学工程的医院管理大佬们，该重视起来了！</span></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-align: inherit; text-decoration: inherit; line-height: 1; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="max-width: 100%; box-sizing: border-box; min-height: 1em; word-wrap: break-word !important;"><span style="max-width: 100%; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-align: inherit; text-decoration: inherit; line-height: 1; box-sizing: border-box !important; word-wrap: break-word !important;">一直都在和小伙伴们聊医院管理，但大多都是人的管理，流程的管理，今天和大家聊聊物品的管理。</span></p></fieldset><fieldset class="" style="margin-top: 0.8em; max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span class="" style="max-width: 100%; box-sizing: border-box; font-size: 1em; font-family: inherit; font-weight: inherit; text-align: inherit; text-decoration: inherit; color: inherit; word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">关于医学工程，国内还没有专著来系统地说说这到底是咋回事，不过比较幸运的是我们找到了一套来自英国国际发展署针对发展中国家的需要而资助出版的一套临床医学工程管理的指南性丛书。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-align: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></span></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-align: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;">这套丛书提出了一个概念，医疗技术管理（Healthcare Technology Management，HTM），其构成框架包括了与之适应的法律、法规、标准和政策，为医疗技术管理创建了相对独立和完善的系统，对我国的现状来看，这似乎有点不切实际，也太过理想化，但是，这或许应该成为我们努力追求的蓝图。</span><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">关于医疗设备管理的难题，看看这套送书里都给出了些什么答案：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></span></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; clear: both; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 8px; max-width: 100%; box-sizing: border-box; border-left-width: 6px; border-left-style: solid; border-color: rgb(95, 156, 239); font-size: 1em; line-height: 1.4; text-align: inherit; font-family: inherit; font-weight: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">谁来搞医疗技术管理？</strong></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">缺钱又缺人，也能做好设备的维护和修理？难以置信吗？看看肯定算不上“白富美”的非洲兄弟们是怎么做到的：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">姆贝亚医院维护协会（MBEHOMA）是坦桑尼亚的一个非营利性组织，负责医疗和其他技术设备的安装、维护和修理。这个组织成立了20多年，它证明了一个地区的维修服务在没有大量补贴的情况下仍然能够进行。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">目前，该机构大部分的运营成本可以从服务项目销售所获得的收入中支出。MBEHOMA的收入由不同的收费项目组成。成员医院每年的会员费足以支付日常支出。作为回报，成员医院能优先获得服务，并且可以减免一部分实实在在的服务和差旅费用。除了服务和差旅费，MBEHOMA 也收取一定的采购设备或备件的费用。MBEHOMA 的会员只能是医院。到1999年，它有8个成员——7个不同教派的教会医院和一个茶叶公司的私人医院。由于MBEHOMA 的良好信誉，其团队的工作人员已有40％的工作时间用于私人客户，如学校、宾馆或当地的企业。由于这些私人客户的费用比会员医院的高，私人客户的收入达到了总收入的60％。除了医疗设备，技术人员还能够规划和维护其他设备，例如电气设备、水泵、汽车，甚至是太阳能供电系统。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">坦桑尼亚的经验提供了一种在资金和人力不足的情况下进行设备维护的可能途径。尤其是在中小型医疗机构相对集中的地区，多家医疗机构可以成立一家合作制的非营利性机构，初期以会员制的方式来运营，后期还能向非会员客户拓展。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; clear: both; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 8px; max-width: 100%; box-sizing: border-box; border-left-width: 6px; border-left-style: solid; border-color: rgb(95, 156, 239); font-size: 1em; line-height: 1.4; text-align: inherit; font-family: inherit; font-weight: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">如何对你的设备了如指掌？</strong></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">看看这些国家机智的做法：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">马拉维的中央卫生部对电子文档记录的设备使用一个基本的六位序列号编码。每当运行一个设备，输入基本代码到计算机，即能在屏幕上显示该设备的库存详情及维护历史。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">萨尔瓦多的公共医疗服务中央维护部开发了一个先进的13 位库存代码编号系统，其中包含设备类型和定位详情。负责编码的工作人员需要大量的知识（技术、医疗和行政）。利用这些人才的技能知识，他们还创建了一个小型代码手册，技术人员就用它来查找正确的代码。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">纳米比亚中央卫生部的办法是在设备上贴条形码，而不是把库存代码标注到每个设备上。他们建立了商业条形码系统程序，并安装在技术人员可以读取代码的计算机、扫描仪上。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; clear: both; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 8px; max-width: 100%; box-sizing: border-box; border-left-width: 6px; border-left-style: solid; border-color: rgb(95, 156, 239); font-size: 1em; line-height: 1.4; text-align: inherit; font-family: inherit; font-weight: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">设备采购生杀大权交给谁？</strong></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">在某国家，这些人员会参与到采购工作中：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></span></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;">◎国家卫生部负责为所有通用设备（例如，吸泵，基本的X线机）制定技术规范。对于复杂的设备，技术规范在必要时由有需求的机构来制定。</span><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎为了制定技术规范，由国家卫生部生物医学工程司这样的中央级采购部门来组建各个技术委员会。每个委员会包含两名由他们的学术机构（比如专门的放射学院）提名的临床专家，一名生物医学工程师以及一名管理人员。技术规范每年都进行修订。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎生物医学工程司作为采购机构来运作，并掌握着全部可能的财政资金分配。但它直接从事的仅仅是复杂设备和国外资助项目的采购。单个医疗机构的设备需求由他们自身去处理。生物医学工程司负责分拨各机构所需的财政资金。它也在医疗机构的采购评估、调试和设备交付等环节提供专家以进行协助。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎所有医疗机构已成立设备委员分会，以处理设备相关事宜。设备委员分会由下列人员组成：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></fieldset><fieldset class="" style="margin-top: 0.8em; margin-bottom: 0.8em; max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 1em; white-space: normal; line-height: 1.4; border: 0px; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 10px; max-width: 100%; box-sizing: border-box; border: 2px dashed rgb(182, 182, 182); font-size: 1em; font-family: inherit; font-weight: inherit; text-align: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important; background-color: rgb(244, 244, 244);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 该机构的负责人</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 各学科的临床医生代表</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 护士长</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 1.4; text-align: inherit; text-decoration: inherit; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></span></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 1.4; text-align: inherit; text-decoration: inherit; word-wrap: break-word !important;">- 手术室/ICU 护士长（高级护士）</span></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 设备用户的代表（如放射科医生）</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 负责设备购置的药剂师</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">- 生物医学工程司的代表（如果需要）</section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎设备委员分会受委托编制年度设备需求，列出优先次序，并将其提交到生物医学工程司以申请预算。一旦预算获得批准，生物医学工程司通知各个机构所分得的资金额度，并在采购所需复杂设备方面提供协助。设备委员分会每月向生物医学工程司汇报工作进展。他们还要协调设备调试和交付的流程。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎一旦收到来自医疗机构的设备需求清单，生物医学工程司会编制两个合并所有需求的总表——一个关于新的采购，一个有关设备替换。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; clear: both; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 8px; max-width: 100%; box-sizing: border-box; border-left-width: 6px; border-left-style: solid; border-color: rgb(95, 156, 239); font-size: 1em; line-height: 1.4; text-align: inherit; font-family: inherit; font-weight: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">有时候医疗设备出问题的原因很小白……</strong></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">你知道吗？</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">许多调查显示，在所报道的设备问题中，大致有如下几种情况：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">1/3源于操作员问题；</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">1/3源于容易解决的小的技术问题( 如灯泡或保险破裂, 电缆松动)；</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">1/3需要更严格的缺陷检查程序和有关该设备的特定知识。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">因此，至少2/3( 可能达到80%) 的问题可以被受过训练的使用者所解决，剩下的，最多1/3的问题需要受过特殊培训的维护人员处理。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></span></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><span class="" style="max-width: 100%; box-sizing: border-box; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; text-decoration: inherit; line-height: 1.6; word-wrap: break-word !important;">瓦努阿图有个奇葩经验——</span><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">当维修人员访问一个偏远的医疗机构时，一位护理人员说产科有一个小煤气炉，已经损坏1年了，她需要一个新煤气炉。维修人员拆开炉子的燃烧器开始清洁。燃烧器充满了残渣，包括壁虎蛋。当完成清洁工作，炉子看起来和新的一样并且运行很好。如果医疗中心的护士能保持炉子清洁，就能很容易地防止上述问题的发生，而炉子也早就可以为母亲们和工作人员准备热乎乎的食物了。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">事实证明，死磕高精尖的技术人员，还不如踏踏实实做好员工的基本设备维修技能，堂堂人类怎么也不能被一堆壁虎蛋给逼得走投无路。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; white-space: normal; border: 0px; clear: both; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="padding: 8px; max-width: 100%; box-sizing: border-box; border-left-width: 6px; border-left-style: solid; border-color: rgb(95, 156, 239); font-size: 1em; line-height: 1.4; text-align: inherit; font-family: inherit; font-weight: inherit; text-decoration: inherit; color: rgb(51, 51, 51); word-wrap: break-word !important;"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">如何确保备件和维护材料的持续供应？</strong></section></section></fieldset><fieldset class="" style="max-width: 100%; box-sizing: border-box; min-width: 0px; color: inherit; font-family: inherit; font-size: 1em; font-weight: inherit; line-height: 25.6px; white-space: normal; border: 0px; clear: both; text-align: justify; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">肯尼亚有话说——</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">肯尼亚的卫生部（在德国技术合作署的支持下）成立了一个专门负责设备备件供应的司，这个项目很成功，它包括下列要素：</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎肯尼亚各地医疗机构的设备库存清单决定了库存需求。他们是：政府医院中20件基础医疗仪器的备件，安装材料和原料（如修理检查床用到的帆布），后来又扩大到某些建材和维护部门所设计的修理工具箱。仅储存医疗机构真正需要的物品、避免“死库存”是很最重要的。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎该计划成功的关键是库存清单中所制定的能以减少错误订购问题的目录。每件物品都进行了编号，有详细说明。该目录和价格表被分发给每一家在本项目中注册的医疗机构中的高级管理人员和技术专家（负责人），并根据需要定期发送更新、目录添加以及更改。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎在内罗毕设立的一个办事处承接了集中采购的工作。根据地理条件和人口密度在全国设立了 4个非常安全的仓库。每一个都整齐配备了办公设备、家具、仓储货架和垃圾箱。库存跟踪由计算机程序运行：跟踪物资库存，生成给医疗机构的销售发票，编写用于制作报告的数据，跟踪债务人的信息，跟踪其他仓库的数据等等。重要的是要监控快速移动的物品，避免缺货——这正是让客户感到沮丧的最大缘由。一个简单的信息传输系统的安装，减少了长途电话和昂贵的快递服务。所购物品的运输主要由客户自己来负责。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎原始库存的购买资金来自肯尼亚和德国政府的外汇捐赠。它们是通过正式的官方程序从海外和本地采购的。所有的钱被保存在一个单独的周转资金账户里，由卫生部持有。因此，这笔资金并不遵循正常的年度预算的规则，能在任何时候以本地或外国货币的方式提取。需要货物的医疗机构仅仅使用采购单并随后获取发票即可。考虑到责任归属、安全性和透明度，每半年需进行一次的库存货盘点和每年度的独立审计，严格遵循招标规则，而且该项目的员工隶属于相关的省级医疗办公室，而不是仓库所在的那家医院。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;">◎在 1996年，该项目雇用了大约26个来自不同学科的政府工作人员：会计、行政人员、物资人员、技术员、仓库保管员、秘书、打字员、信差和一名司机。运营系统被设计得尽可能的好用以符合工作人员的能力。</section><section class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><br class="" style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;" /></section><p style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; text-align: right;">——本文干货摘自《医疗技术管理指南》</p><hr style="line-height: 25.6px; white-space: normal;" /><p style="margin-bottom: 15px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-family: 微软雅黑; line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background: white;"><span style="font-size: 10px; background-color: rgb(178, 178, 178);">广告</span><br /></p><p style="margin-bottom: 15px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-family: 微软雅黑; line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background: white;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/A1DicCH9Vl6OBiatzauoODMYrFWfWByiabCZ1H99TKmSjrX7BRZbRvrOic3iaqyxe79ib8ACPHweqKKibUj2Og6jGnBGQ/0?wx_fmt=jpeg" data-ratio="0.43353293413173655" data-w="835" /><br /></p><p style="margin-top: 5px; line-height: 25.6px; white-space: normal; text-align: center;"><strong style="text-decoration: underline; color: rgb(100, 100, 100); font-family: 'sogue UI', 'Microsoft YaHei', Arial, SimSun-ExtB, SimSun; line-height: 25px; font-size: 16px;">广东上药桑尼克医疗科技有限公司--专业CT、MR维修商</strong></p><p style="line-height: 25.6px; white-space: normal; text-align: right;"><span style="font-size: 10px; color: rgb(178, 178, 178);">（广告合作联系管理员）</span><br /></p><hr style="line-height: 25.6px; white-space: normal;" /><p style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; text-align: right;"><br /></p></fieldset><section class="pEditor " style="line-height: 25.6px; white-space: normal;"><section data-css="background-color: rgb(239, 239, 239);border-radius: 5px;border: 1px solid rgb(153, 153, 152);margin: 0px;padding: 5px" style="padding: 5px; border-radius: 5px; border: 1px solid rgb(131, 147, 209); text-align: center; background-color: rgb(239, 239, 239);"><section data-css="color: inherit;display: inline-block;margin: 1px" style="margin: 1px; color: inherit; display: inline-block;"><span style="padding: 2px 10px; border-color: rgb(204, 204, 204); border-radius: 2px; color: rgb(1, 1, 3); font-weight: bold; font-size: 18px; background-color: rgb(109, 205, 25);">推荐阅读</span></section><section data-css="color: inherit;margin: 0px;padding: 10px" style="padding: 10px; color: inherit;"><p style="line-height: 1.75em; text-align: left;"></p><ol class=" list-paddingleft-2" style="list-style-type: lower-alpha;"><li><p style="line-height: 1.75em; text-align: left;">最新医械工资排行，奋斗这么久，你还在拖后腿吗？<br /></p></li><li><p style="line-height: 1.75em; text-align: left;">一位医疗器械维修工程师的自白<br /></p></li><li><p style="line-height: 1.75em; text-align: left;">CT 、MR 、DSA 、PET 维修商一览表（部分）<br /></p></li><li><p style="line-height: 1.75em; text-align: left;">如果你有一个做医疗设备维修的朋友<br /></p></li><li><p style="line-height: 1.75em; text-align: left;">有人@你 通知：12月10日“中国医疗器械工程师协会”邀您参会！<br /></p></li><li><p style="line-height: 1.75em; text-align: left;">有一对做医疗器械的父母是一种什么样的感受？</p></li></ol></section></section></section><p><br /></p><section class="pEditor " style="line-height: 25.6px; white-space: normal;"><section style="border: 0px; max-width: 100%; font-size: 16.3636px; text-align: center; word-wrap: break-word !important; box-sizing: border-box !important;"><section style="max-width: 100%; display: inline-block; word-wrap: break-word !important; box-sizing: border-box !important;"><section style="max-width: 100%; display: inline-block; word-wrap: break-word !important; box-sizing: border-box !important;"><p style="max-width: 100%; word-wrap: normal; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; text-transform: uppercase; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></strong></p><p style="max-width: 100%; word-wrap: normal; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; text-transform: uppercase; box-sizing: border-box !important; word-wrap: break-word !important;">·END·</strong><br style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;" /></p><p style="max-width: 100%; word-wrap: normal; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; text-transform: uppercase; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></strong></p></section><section class="gulangutitle" style="margin: 0em 0.5em 0.1em; max-width: 100%; color: rgb(16, 146, 113); font-size: 1.8em; line-height: 1; font-weight: inherit; word-wrap: break-word !important; box-sizing: border-box !important;"><p><span style="font-size: 20px;"><strong class="pBrush" style="padding-right: 50px; padding-bottom: 3px; padding-left: 50px; border-bottom-style: solid; border-bottom-width: 1px; border-color: rgb(2, 2, 2); display: block; line-height: 28px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"></strong></span></p></section><section class="pbrush" style="margin: 0.5em 1em; max-width: 100%; font-size: 1em; line-height: 1; font-weight: inherit; text-align: inherit; text-decoration: inherit; color: rgb(120, 124, 129); word-wrap: break-word !important; box-sizing: border-box !important;"><p><span style="font-size: 14px;"><strong><span class="pBrush" style="color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">ID: </span></strong><strong><span class="pBrush" style="max-width: 100%; color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong></span></p><p><span style="font-size: 14px;"><strong><span class="pBrush" style="max-width: 100%; color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">大家都在关注的医疗器械维修新媒体平台</span></strong></span></p><p><strong style="color: rgb(131, 104, 28); font-family: Avenir, sans-serif; font-size: 16px; line-height: 28px;"><span style="color: rgb(127, 127, 127); font-size: 12px;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6MoypciaNOibiaxmVLk8eA6ibKL14uWjKsZwrWboQYKTfXqPicXycwL1icfia1pAG0VzlTX3MRR4FPV0ZtZA/0?wx_fmt=jpeg" data-ratio="1.0136054421768708" data-w="147" class="" style="float: none;" /></span></strong></p></section></section></section></section><p><br /></p>
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发表于 2020-10-21 12:36:40