中国公共卫生管理2024,Vol.40Issue(5) :769-772.DOI:10.19568/j.cnki.23-1318.2024.05.0035

失效模式与效应分析在医院感染管理中的促进作用分析

The promotion effect of failure mode and effect analysis on hospital infection management

叶俊 宋昱晨 关志伟
中国公共卫生管理2024,Vol.40Issue(5) :769-772.DOI:10.19568/j.cnki.23-1318.2024.05.0035

失效模式与效应分析在医院感染管理中的促进作用分析

The promotion effect of failure mode and effect analysis on hospital infection management

叶俊 1宋昱晨 1关志伟1
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作者信息

  • 1. 金华市人民医院,浙江金华 321000
  • 折叠

摘要

目的 评估失效模式与效应分析在医院感染(以下简称院感)管理中的促进作用,为优化院感管理措施提供科学依据.方法 将2024年3-4月、7-8月在金华市人民医院住院的247例患者作为研究对象,选取其中3-4月住院的134例患者作为对照组,采取常规院感控制措施;7-8月住院的113例患者作为干预组,在常规院感控制基础上运用失效模式与效应分析对院感管理措施进行前瞻性预警评估.比较两组患者的院感发生率、院感防控措施落实情况,并随机抽取不同干预时段内研究对象所在科室的35~50名医护人员,评估并比较其院感控制措施的执行情况.结果 除泌尿系统外,干预组患者各类院感发生率均低于对照组(P<0.05),其各项院感防控措施落实率均高于对照组(P<0.05).干预期内患者所在科室医护人员各项院感控制措施执行率均优于对照组(P<0.05).结论 作为一种前瞻性风险评估预警手段,失效模式与效应分析可以有效提高院感防控效果,推动管理措施更加高效、全面实施.

Abstract

Objective To explore the role of failure mode and effect analysis in the management of hospital infection,and to provide scientific basis for optimizing the management measures of nosocomial infection.Methods A total of 247 patients hospitalized in Jinhua People's Hospital from March to April and July to August 2024 were selected as the research objects,and 134 patients hospitalized from March to April 2024 were selected as the control group,and routine hospital infection control measures were taken.A total of 113 patients who were hospitalized from July to August were used as the intervention group.On the basis of routine hospital infection control,failure mode and effect analysis was used to conduct prospective early warning assessment of hospital infection management measures.The incidence of hospital infection and the implementation of hospital infection prevention and control measures were compared between the two groups,and 35-50 medical staff in the departments of the subjects in different intervention periods were randomly selected to evaluate and compare the implementation of hospital infection control measures.Results Except for the urinary system,the incidence of various types of hospital infection in the intervention group was lower than that in the control group(P<0.05),and the implementation rate of various hospital infection prevention and control measures was higher than that in the control group(P<0.05).During the intervention period,the implementation rate of various hospital infection control measures of the medical staff in the department where the patient was located was better than that in the control group(P<0.05).Conclusion As a forward-looking risk assessment and early warning method,failure mode and effect analysis can effectively improve the effect of hospital infection prevention and control,and promote the more efficient and comprehensive implementation of management measures.

关键词

失效模式与效应分析/院感/预警评估

Key words

failure mode and effect analysis/hospital infection/early warning evaluation

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出版年

2024
中国公共卫生管理
中华预防医学会,黑龙江疾病预防控制中心

中国公共卫生管理

影响因子:0.559
ISSN:1001-9561
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