Risk evaluation of healthcare workers contracting tuberculosis in a designated tuberculosis hospital based on failure mode and effect analysis
10.11816/cn.ni.2025-258036
- VernacularTitle:基于失效模式与效应分析法评估结核病定点医院医务人员感染结核的风险
- Author:
Fengxi QIN
1
;
Jishun WU
;
Yuexin LIANG
;
Yushuang CAI
;
Dengcui CHEN
;
Xiudong XU
Author Information
1. 广西壮族自治区胸科医院医务部,广西柳州 545005
- Publication Type:Journal Article
- Keywords:
Failure mode and effect analysis;
Risk evaluation;
Tuberculosis infection prevention and control;
Tu-berculosis infection in healthcare worker
- From:
Chinese Journal of Nosocomiology
2025;35(20):3156-3161
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the risk evaluation of healthcare workers contracting tuberculosis in a designated three-A tuberculosis hospital in Guangxi based on the failure mode and effect analysis(FMEA)method.METHODS A designated three-A tuberculosis hospital in Guangxi was selected.Healthcare workers from Jan.1,2023 to Dec.31,2023 served as the control group and received routine management,i.e.,implementing various tuberculosis prevention and control measures according to current guidelines.Healthcare workers from Jan.1,2024 to Dec.31,2024 served as the experimental group and were managed by the FMEA method.High-risk fac-tors were screened through the FMEA method,and targeted intervention strategies were formulated to priori-tize intervention for high-risk events.The incidence rate of tuberculosis among healthcare workers and the imple-mentation rate of tuberculosis infection prevention and control measures before and after FMEA intervention were compared.RESULTS The six high-risk events screened were improper use of surgical masks by patients,inade-quate respiratory hygiene practices,improper use of medical protective masks by healthcare workers,lack of full process isolation management for tuberculosis patients,unreasonable sputum collection areas and improper venti-lation and air disinfection measure setting or maintenance.After implementing a series of tuberculosis prevention and control measures,the incidence rate of tuberculosis infection among healthcare workers decreased from 1.63％before FMEA intervention to 0.30％(P=0.021).The implementation rate of tuberculosis infection prevention and control measures increased from 69.95％to 73.61％(P=0.003).CONCLUSIONS Risk evaluation based on the FMEA method can identify weaknesses in tuberculosis infection prevention among healthcare workers in desig-nated tuberculosis hospitals.Implementing multiple measures simultaneously can effectively reduce the incidence rate of tuberculosis among healthcare workers,ensure occupational safety,improve the implementation rate of tu-berculosis infection prevention and control measures and achieve scientific and precise prevention and control.
