Application of FMEA combined with RCA in preventing incisional infection in patients undergoing cesarean section
Objective To explore the application of failure mode and effect analysis(FMEA)combined with root cause analysis(RCA)in preventing incisional infection in patients undergoing cesarean section.Methods To select 72 patients who underwent cesarean section in the hospital from March to December 2022 as the research subjects,among them,36 patients who underwent cesarean section from March to July 2022 were selected as a control group,and another 36 patients who underwent cesarean section from August to December 2022 were selected as an observation group.The control group implemented routine infection prevention management,and the observation group implemented FMEA combined with RCA model infection prevention management,calculated the key risk value(RPN)results before implementation,analyzed the RPN values before and after implementation,and then observed and recorded the RPN values before and after FMEA and RCA and the patient's abdomen The occurrence of surgical incision infection was then compared and analyzed.Results The risk factors of RPN before implementation were ranked from large to small as unreasonable application of antibacterial drugs;failure of thorough cleaning and disinfection and sterilization;failure to perform aseptic technical operation specifications and non-standard hand hygiene;failure to strictly implement regulations and operations.The room environment was not up to standard,medical staff had insufficient education and the disinfection effect was not up to standard.The results of the sampling study showed that the RPN value after the implementation of FMEA and RCA(observation group)was lower than the RPN value before the implementation of FMEA and RCA(control group).After nursing,the incidence of incision infection in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion FMEA combined with RCA mode can effectively reduce the key RPN value and reduce the incision infection rate in obstetric and gynecological abdominal surgery patients,thereby achieving the purpose of preventing infection.
Failure mode and effect analysisRoot cause analysisObstetrics and gynecology departmentCesarean sectionIncision infectionRisk value
万方数据
维普
