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应用失效模式与效应分析提高医护人员手卫生依从性 被引量:24

Application of failure mode and effects analysis to improve the compliance of hand hygiene of health care workers
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摘要 目的控制影响手卫生执行力的危险因素,提高医护人员手卫生依从性。方法运用失效模式与效应分析(FMEA)风险管理方法,分析医护人员手卫生依从性的危险因素,通过措施整改和流程改进降低这些危险因素的发生风险。结果各项失效模式的事先风险数值(RPN)有明显下降,其中下降最显著的流程步骤改善是"洗手设施"、"手卫生指征知晓"和"手卫生对感染控制重要性的认识",RPN值分别减小了88.89%、88.75%和88.33%;手卫生依从性从FMEA实施前的17.86%升高到FMEA实施后的32.05%(P<0.05);病房的手卫生产品消耗量从2.47ml/(床.d)上升至6.17ml/(床.d)。结论 FMEA风险管理方法在手卫生依从性风险评价和风险事前预防具有良好效果,可有效提高医护人员的手卫生依从性。 OBJECTIVE To control the risk factors of execution of hand hygiene so as to improve the hand hygiene compliance of the medical staff. METHODS The failure mode and effects analysis (FMEA) was used to analyze the % risk factors of hand hygiene compliance. The rectification measures and process improvements were then carried out to reduce the risk of the occurrence of these risk factors. RESULTS The most significant processes that affected the failure mode of the prior risk number (RPN) values were the improvement of hand-washing facilities, recognition of hand hygiene indications, and increased awareness of the importance of hand hygiene on infection control, by which the RPN values were reduced by 88.89%, 88.75% and 88.33%, respectively. After FMEA, the hand hygiene compliance increased from 17.86 % to 32.05 G (P〈0.05), and the consumption of hand hygiene products rose from 2.47 ml / bed · day to 6.17 ml / bed · day. CONCLUSION The FMEA risk management can achieve good effect on the assessment of risk of hand hygiene compliance and the prevention of RPN and can effectively improve the hand hygiene compliance of the medical staff.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2013年第7期1645-1647,共3页 Chinese Journal of Nosocomiology
关键词 失效模式与效应分析 医护人员 手卫生依从性 Failure mode and effects analysis Medical staff Hand hygiene compliance
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