摘要
目的:加强骨科外来手术器械清洗管理,保障手术患者安全。方法:运用失效模式与效应分析对骨科外来手术器械清洗过程中可能存在的失效模式进行风险分析,并根据风险程度实施干预措施。结果:人工刷洗不到位、未按清洗流程操作、器械损坏或丢失、器械清洗不彻底是骨科外来手术器械清洗过程中的高风险失效模式。实施改进措施后,该4项风险优先数值均有所下降,器械清洗合格率由干预前81.07%提升至干预后96.30%,差异有统计学意义(P值均<0.05)。结论:在骨科外来手术器械清洗管理中应用失效模式与效应分析,采取相应干预措施,能有效提高骨科外来手术器械的清洗质量。
Objectives:To strengthen clean management for non-operation-room surgical instruments of orthopedics to ensure the safety of surgical patient.Methods:Using the failure mode and ef ect analysis method to analysis failure mode of non-operation-room surgical instruments of orthopedics,interventions are implemented according to the degree of risk.Results:The main failure mode were uncompleted manual work,inobservance operation procedure,damage and loss of the surgical instruments.And incomplete cleaning of the surgical instruments is the high risk failure mode.After implementation the improvement measures,the RPN have been decreased and the qualified rate of the cleaning of the surgical instruments from 81.07% to 96.30% with significant dif erence(P <0.05).Conclusions:The application of FMEA in cleaning procedure of non-operation-room surgical instruments ef ectively improve the cleaning quality of non-operation-room surgical instruments.
出处
《中国医院》
2016年第9期38-40,共3页
Chinese Hospitals
基金
中华医院感染控制研究基金项目(ZHYG2014-0031)
关键词
失效模式
效应分析
手术器械
清洗质量
手术部位感染
failure mode
ef ect analysis
surgical instruments
cleaning quality
surgical site infection
