Application of failure mode and effect analysis in management of hospital-associated infections in hemodialysis center
10.11816/cn.ni.2025-250900
- VernacularTitle:失效模式与效应分析在血液透析中心医院感染管理中的应用
- Author:
Kun TAN
1
;
Jianjun YAN
;
Qian LYU
;
Shiqing WEI
;
Chuan XU
;
Li TAN
;
Weijun PENG
Author Information
1. 华中科技大学同济医学院附属同济医院医院感染管理科,湖北武汉 430030
- Publication Type:Journal Article
- Keywords:
Hemodialysis center;
Hospital infection control and prevention;
Failure mode and effect analysis;
Risk priority number;
Action priority;
Risk assessment
- From:
Chinese Journal of Nosocomiology
2025;35(22):3473-3478
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the effect of failure mode and effect analysis(FMEA)on management of hospi-tal-associated infections(HAIs)in hemodialysis center.METHODS In Nov.2023,the risk priority number(RPN)integrated with action priority(AP)was adopted to identify,analyze and evaluate the risk factors in man-agement of HAIs in hemodialysis center of Tongji Hospital Affiliated to Tongji Medical College,Huazhong Uni-versity of Science and Technology by FMEA method.The high risk points that needed to be taken interventions were screened out,and the targeted measures were formulated to control the risks.At the end of the intervention period,a second round of risk assessment was carried out for improvement status of the high-risk points in Nov.2024,and the effect on the management of HAIs was evaluated.RESULTS The risk assessment was carried out for 48 risk points covering eight aspects,including organizational structure,self-inspection and supervision,staff management,environmental layout,cleaning and disinfection,surveillance,operation procedures and i-tem management.There were 9 risk points with the RPN values greater than 125,3 of which were with the AP value of"H".There were 8 risk points with the RPN value less than 125 and 6 risk points with the AP value drop-ping down to L after the targeted intervention measures were taken,indicating that the risk management has a-chieved favorable effect.CONCLUSIONS The RPN and AP integrated with FMEA can accurately identify the high-risk points in the quality management of the hemodialysis center.It is necessary to take targeted interven-tion measures so as to boost the effect on prevention and control of HAIs in the hemodialysis center and reduce the risk of HAIs in the hemodialysis patients.
