Application efficacy of FMEA management model-based risk assessment in prevention and control of healthcare-associated infection:a Meta-analysis
10.12138/j.issn.1671-9638.20246361
- VernacularTitle:基于FMEA管理模式的风险评估在医院感染防控中应用效果的Meta分析
- Author:
Ling CAI
1
;
Kang-Le GUO
;
Yan WANG
;
Ying-Hua ZHANG
;
Yu-Qing FAN
;
Xiao-Hong ZHANG
;
Lan-Wen HU
;
Ya-Hong YANG
;
Hao-Jun ZHANG
Author Information
1. 甘肃省人民医院感染管理科,甘肃兰州 730000
- Keywords:
risk assessment;
FMEA management mode;
healthcare-associated infection management;
infection prevention and control;
Meta-analysis
- From:
Chinese Journal of Infection Control
2024;23(11):1350-1357
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the application efficacy of failure mode and effect analysis(FMEA)management mode in the prevention and control of healthcare-associated infection(HAI).Methods Li-terature on the application of FMEA management mode in HAI prevention and control were retrieved from PubMed,Embase,the Cochrane Library,China National Knowledge Infrastructure(CNKI),VIP Database,Wanfang Data-base,and China Biomedical Literature Database(CBM).Two researchers independently screened the literature,ex-tracted data,and conducted cross checking.Risk and quality assessments were performed on the included studies of randomized controlled trials by ROB tool,the included cohort studies were scored by Newcastle-Ottawa(NOS)scale,and Meta-analysis was conducted by RevMan 5.4 software.Results A total of 22 studies involving 42 815 patients were included in the analysis,with 21 784 in the FMEA management mode group and 21 031 in the control group.Meta-analysis results showed that the incidence of HAI in the FMEA management mode group was lower than that in the control group(OR=0.31,95％CI[0.24,0.40]).Compared with the conventional management mode,incidences of superficial surgical site infection(OR=0.53,95％CI[0.36,0.78]),respiratory system infec-tion(OR=0.44,95％CI[0.35,0.56]),urinary system infection(OR=0.45,95％CI[0.38,0.53]),and blood system infection(OR=0.29,95％CI[0.18,0.45])in the FMEA management mode group were all lower(all P＜0.01).Conclusion The application of FMEA management mode in HAI prevention and control can reduce the inci-dence of HAI,which should be actively promoted in hospital management.
