Meta-analysis on failure mode and effect analysis for the prevention of ICU-acquired infection
10.12138/j.issn.1671-9638.20244371
- VernacularTitle:失效模式与效应分析预防ICU获得性感染的Meta分析
- Author:
Ling-Ling GUO
1
;
Xiao-Ying WU
Author Information
1. 重庆医科大学附属永川医院医院感染控制科,重庆 402160
- Keywords:
failure mode and effect analysis;
ICU-acquired infection;
multidrug-resistant organism infection;
Me-ta-analysis;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2024;23(3):336-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the effectiveness of failure mode and effect analysis(FMEA)in the prevention of intensive care unit(ICU)-acquired infection.Methods Two researchers independently searched relevant literatures from foreign and Chinese databases,with a search deadline of July 15,2022.Independent screening of literatures,extraction of data and evaluation on overall quality were performed according to inclusion and exclusion criteria.RevMan 5.4 software was used to conduct Meta-analysis on the preventive effect of the in-cluded literatures.Results A total of 19 literatures were included in analysis.Meta-analysis results showed that ap-plication of FMEA method reduced the incidences of ventilator-associated pneumonia(OR=0.40,95％CI[0.31-0.51],P＜0.01),catheter-associated urinary tract infection(OR=0.29,95％CI[0.17-0.51],P＜0.01),cen-tral line-associated bloodstream infection(OR=0.28,95％CI[0.18-0.46],P＜0.01),and multidrug-resistant organism infection(OR=0.46,95％CI[0.37-0.58],P＜0.01)in ICU patients,as well as incidence of health-care-associated infection(HAI)in ICU(OR=0.46,95％CI[0.37-0.59],P＜0.01),and significantly improved the satisfaction of ICU patients and their families(OR=2.34,95％CI[1.72-3.17],P＜0.01).Conclusion FMEA can effectively prevent ICU-acquired infection and improve the quality of HAI management.
