1, purchase file
Procurement file is the first item of large-scale medical device files, including written materials formed in the preliminary work of the hospital, such as deliberations, inspection records, tenders, tenders, procurement contracts, etc. The purchase contract and its subsidiary clauses describe the rights and obligations of both parties. In the future work of product use, monitoring and maintenance, many aspects involved should be based on the authority required by the contract, so it is very important to record the previous contract.
2. Basic information section
The basic situation part is an important part of the file. Generally, it includes the instruction manual and circuit diagram of large medical devices. According to the actual situation, the hospital also establishes the site map of large medical equipment and the site circuit diagram of water, electricity and heating in the archives. When it is necessary to consult large medical equipment in the process of monitoring and maintenance, the backup data can be used to make a good record. This can not only prolong the service life of the original file, but also facilitate the use of readers.
With the development of socialist market economy, the increase of social demand and the continuous development of medical and health undertakings, the types of hospital archives are also increasing, and the scope of hospital archives work is also expanding. Science and technology archives are carriers of knowledge and information, potential productivity and very valuable science and technology resources. With the continuous improvement of medical quality and service quality and the continuous development of hospital science and technology construction, it is more important to strengthen the management of hospital science and technology archives. It is necessary to establish a standardized medical device file management system. In recent years, the hospital where the author is located has made some attempts in the management of medical equipment, especially in the file management of medical equipment, and I would like to discuss with you.
With the rapid development of health in China, large-scale medical equipment plays an increasingly important role in modern hospitals. Large-scale medical equipment has not only become a symbol to measure the comprehensive level of a hospital, but also provides a large number of reference data for medical diagnosis, which has become an important basis for modern medical diagnosis. With the increase of large-scale medical equipment and the increasing frequency of use, problems in management, maintenance and overhaul also follow. The hospital has established a large-scale medical device file management system. Set up a large medical device file counter in the hospital file room, which is managed by professional and technical personnel. The file management adopts the "classification" management mode, and "special files" are established for large medical devices with a single value of more than 654.38+10,000 yuan, one for each piece, and managed by year and catalogue.
3, monitoring records
With the increase of the service life of large medical equipment, it is very necessary to monitor and maintain large medical equipment regularly, which is also an important means to extend its service life. In recent years, the management of large medical devices in China has become more and more strict. The technical supervision department and the competent health department regularly inspect large medical devices every year. The inspection situation can truly reflect the actual working state of large medical equipment, thus helping users to understand the performance of the equipment more clearly. Through filing and technical comparison of all inspection records, the service life and aging degree of large medical equipment can be calculated. At the same time, inspection can also supervise the use and maintenance of equipment in various departments, so that instruments and equipment can be in the best technical state and give full play to their functions.
4. Discard records
Mainly for the file management of severely damaged and irretrievable scrapped equipment. This kind of instruments and equipment must have a strict application for scrapping, and can only be scrapped after being appraised by relevant departments. This involves the country's fixed assets, which can restrict the loss and other unhealthy trends.
The post-management of large-scale medical device files is mainly to improve the filing work and the management of borrowing and querying after filing. The archives of large-scale medical devices in the hospital are managed by special personnel, who are responsible for the sorting and filing of monitoring and maintenance files in the later period, and the medical device (equipment) user department and the medical engineering department actively assist and coordinate the work. In terms of borrowing, the hospital has formulated a strict file borrowing system, which stipulates the scope, time and return system of file borrowers. When the borrowed files need to be taken out of the archives room, generally only the backup copies are borrowed. After the borrowing time limit is exceeded, the archivist will supervise and urge, and it can be extended appropriately according to the actual work needs.
The establishment of hospital large-scale medical device file management system will be continuously improved and supplemented with the development of time. The development and utilization of large-scale medical device file information resources has become an indispensable link in the process of hospital modernization. Continuously improve the understanding of the significance of archives management of large medical devices, improve the archives management system, and establish an integrated management model of hospital information. Through the multi-channel and multi-channel development of archival information resources, it can meet the needs of medical treatment, teaching and scientific research, realize the sharing of archival information resources, and make archival information resources play a great role in the process of hospital modernization.
5, maintenance records
Due to the increase of service life of large medical equipment and human factors, various failures of equipment are inevitable. And with the increase of service life, the frequency of faults is getting higher and higher, and some faults have developed into "stubborn diseases". Timely maintenance of large medical equipment is the premise to ensure its normal use. Recording the fault maintenance in detail in the file can facilitate the query in the future work, and at the same time, it can ensure the replenishment of parts and avoid idleness, backlog and waste. The hospital divides each maintenance record into daily maintenance records, large-scale maintenance records and scrapped records, which are sorted and filed separately.
6, daily maintenance records
Daily maintenance work is generally carried out by comrades in the medical engineering department of the hospital, mainly aiming at some low-level failures of some medical devices or large medical devices with low value and scientific and technological content. Record the failure time, name of maintenance personnel, parts repaired, parts used and replaced, whether the failure is eliminated, and acceptance personnel. It is detailed in the maintenance file.
7, large maintenance records
Some large medical device companies have their professional after-sales service departments to track the medical devices sold. When there are some major failures of medical devices, our technical force is not enough to solve them, we can turn to them for after-sales maintenance service. In this kind of maintenance files, the time and reason of failure, the name of the maintenance personnel appointed by the after-sales service department, the parts to be repaired, the used and replaced parts and their manufacturers, the time of troubleshooting, the acceptance personnel and the use after maintenance should be recorded in detail. This can not only improve our file management, but also provide a powerful text reference for our future equipment maintenance.