摘要
目的控制手术室器械回收失效高危因素,以保证器械回收质量。方法组建FMEA团队,共同讨论确定器械回收流程中导致回收失效的高危因素并计算危机值（RPN）,回收失效的10个潜在风险因素RPN均大于100,根据潜在风险因素制定并实施持续改进方案。结果 FMEA实施后高危因素的RPN由101.79~190.45分下降至0~58.63分;FMEA实施前后器械损坏、器械丢失发生率比较,差异有统计学意义（均P〈0.01）。结论应用FMEA有助于系统分析器械回收失效的原因,并指导制定改进措施,可使手术室器械管理更加规范,改善手术器械回收质量。
Objective To control high risk factors that resulting in recovery failure of instruments in operating room, and to ensure quality of instruments recovery. Methods The FMEA team was set up to discuss and identify the high risk factors resulting in recovery failure in the process of instruments recovery, and the risk priority number （RPN）was calculated, the RPNs of the 10 po- tential risk factors were more than 100, then continuous quality improving program was formulated and implemented according to the potential risk factors. Results After implementation of FMEA, the RPNs of the high risk factors declined from 101.79-190.45 to 0--58.63, and there were significant differences in incidences of instruments damage and instruments lost when compared with those before FMEA （P〈0.01 for both）. Conclusion Application of FMEA is conducive to systematically analyze the causes of instruments recovery failure and formulate improving measures, then to regulate management of instruments and to improve the quality of instruments recovery in operating room.
出处
《护理学杂志》
CSCD
2016年第10期9-12,共4页
Journal of Nursing Science
关键词
手术室
手术器械
器械回收
失效模式与效应分析
operating room
surgery instruments
recovery of instruments
failure mode and effect analysis
