Application of failure mode and effect analysis in reducing the risk of nosocomial infection
10.3760/cma.j.cn121094-20200224-00082
- VernacularTitle:失效模式与效应分析在降低医院感染风险中的应用
- Author:
Qiping ZHANG
1
;
Xiaoteng WANG
;
Jinqi LU
;
Fenjuan SHI
;
Lei JIA
;
Jianwen JIN
;
Qinli FENG
;
Yin CAI
Author Information
1. 314000 嘉兴市第一医院
- Keywords:
Risk assessment;
Failure mode and effect analysis;
Hand hygiene;
Blood-borne occupational exposure;
Nosocomial infection
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2021;39(3):189-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of failure mode and effect analysis (FMEA) in the management of nosocomial infection, and provide reference for the effective prevention and control of nosocomial infection.Methods:Using FMEA to identify, analyze, evaluate and screen out the high-risk events of nosocomial infection in January 2020, from which two hospital level priority improvement projects of hand hygiene compliance and blood-borne occupational exposure were determined. After risk control and intervention measures, the effects before and after improvement were compared.Results:Except for the lack of incentive mechanism and insufficient communication between medical and nursing teams, the differences in hand hygiene compliance and blood-borne occupational exposure risk priority coefficients before and after the implementation of FMEA were statistically significant ( P<0.05) . After the implementation of FMEA, the hand hygiene compliance was 74.92% (79375/105953) , which was significantly higher than 68.40% (58361/85328) before the implementation of FMEA, and the difference was statistically significant (χ 2=996.55, P<0.01) . The incidence of blood-borne occupational exposure after the implementation of FMEA was 3.85% (80/2080) , which was lower than the 6.16% (123/1998) before the implementation of FMEA, and the difference was statistically significant (χ 2=11.49, P<0.01) . Conclusion:FMEA has a good effect in nosocomial infection management. It can identify and evaluate the risk of nosocomial infection prospectively, so as to control the risk effectively.
