暨南大学学报(自然科学与医学版)2024,Vol.45Issue(4) :420-427.DOI:10.11778/j.jdxb.20240005

基于多学科协作的HFMEA对医院感染的控制效果

Application effect of multidisciplinary collaboration based healthcare medical failure mode and effect analysis on hospital infection management

马小菊 黎婉斌 何达秋 陈梦宁
暨南大学学报(自然科学与医学版)2024,Vol.45Issue(4) :420-427.DOI:10.11778/j.jdxb.20240005

基于多学科协作的HFMEA对医院感染的控制效果

Application effect of multidisciplinary collaboration based healthcare medical failure mode and effect analysis on hospital infection management

马小菊 1黎婉斌 1何达秋 1陈梦宁1
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作者信息

  • 1. 中山大学附属第三医院医院感染管理科,广东 广州 510630
  • 折叠

摘要

目的:探讨基于多学科协作的医疗失效模式与效应分析(HFMEA)在降低医院感染率方面的应用效果.方法:对2022年1月至12月中山大学附属第三医院院感数据进行回顾性分析,运用HFMEA模式进行风险评估,针对高风险环节制定预防措施和整改方案,并在2023年1月至12月实施改进措施.2023年12月再进行风险评估,分析应用多学科协作的HFMEA后,医院感染的控制效果.结果:与2022年相比,2023年应用多学科协作的HFMEA后,医院感染发生率、多重耐药菌(MDRO)感染发生率和呼吸机相关性肺炎(VAP)发生率均无显著差异(P值分别为0.650、0.653和0.219),抗菌药物病原学送检率、导尿管相关性尿路感染(CAUTI)发生率、中心静脉导管相关性血流感染(CLABSI)发生率、手卫生依从率和手卫生正确率均有明显改善(P<0.05).结论:基于多学科协作的HFMEA应用在医院感染管理中,可显著提高抗菌药物病原学送检率,显著降低CAUTI和CLABSI发生率,大幅提升手卫生依从率和正确率.

Abstract

Objective:To explore the application effect of Healthcare Failure Mode and Effects Analysis(HFMEA)based on multidisciplinary collaboration in reducing hospital infection rates.Methods:A retrospective analysis was conducted on hospital infection data to the Third Affiliated Hospital of Sun Yat sen University from January to December 2022.The HFMEA model was used for risk assessment,identifying high-risk areas,developing preventive measures and corrective plans for high-risk areas,and implementing improvement measures from January to December 2023.In December 2023,a risk assessment will be conducted to analyze the control effect of hospital infections after the application of multidisciplinary collaboration in HFMEA.Results:Compared with 2022,there were no significant differences in the incidence of hospital infections,MDRO infections,and VAP after the application of multidisciplinary collaboration in HFMEA in 2023(P values of 0.650,0.653,and 0.219,respectively).However,there were significant improvements in the rates of antimicrobial pathogen testing,CAUTI,CLABSI,hand hygiene compliance and hand hygiene accuracy(P<0.05).Conclusion:The application of HFMEA based on multidisciplinary collaboration in hospital infection management can significantly improve the rate of antimicrobial pathogen testing,significantly reduce the incidence of CAUTI and CLABSI,and greatly improve hand hygiene compliance and accuracy.

关键词

医疗失效模式与效应分析/多学科协作/医院感染管理/风险评估

Key words

Healthcare Failure Mode and Effects Analysis/multidisciplinary collaboration/hospital infection management/risk assessment

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出版年

2024
暨南大学学报(自然科学与医学版)
暨南大学

暨南大学学报(自然科学与医学版)

CSTPCD北大核心
影响因子:0.996
ISSN:1000-9965
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