Application of failure mode and effect analysis in the whole process management of hard endoscopic instruments in the disinfection and suppy center
Objective To explore the effect of Failure Mode and Effect Analysis(FMEA)in the whole process management of rigid endoscopic instruments in disinfection supply center.Methods In January,2022,FMEA was applied to the rigid endoscope treatment process in a hospital,and a FMEA team was established.The existing failure modes were summarized and analyzed,and the corresponding rectification measures were put forward.The risk priority number(RPN)in the whole process of rigid endoscopic treatment before and after FMEA implementation and the work quality of staff were compared.Results After the implementation of FMEA,the failure mode RPN values of rigid endoscope,such as instrument handover error,instrument loss,incomplete cleaning,the device group equipped with errors,instrument damage,sterilization failure and missed registration,were significantly reduced(P<0.05).After the implementation of FMEA,the qualified rates of equipment cleaning,inspection and packaging,and equipment sterilization were significantly higher than those before the implementation of FMEA(P<0.01).The damage rate of rigid endoscopic instruments was lower than that before implementation(P<0.01).Conclusion FMEA can find the potential problems in the whole process of rigid endoscopy,and improve the management quality.
Failure Mode and Effect Analysisdisinfection supply centerhard endoscopic instrumentwhole process management