本文關(guān)鍵詞：失效模式與效應(yīng)分析在眼科精密器械集中式管理中的應(yīng)用　出處：《中華醫(yī)院感染學(xué)雜志》2016年20期 　論文類型：期刊論文

  更多相關(guān)文章： 失效模式與效應(yīng)分析 眼科精密器械 集中式管理

【摘要】：目的加強(qiáng)眼科精密器械的集中式管理,優(yōu)化管理流程,提高器械清洗效率,減少損耗,降低成本,提高交接準(zhǔn)確率。方法 2013年4月成立失效模式與效應(yīng)分析(FMEA)質(zhì)控組,對(duì)眼科精密器械的集中式管理進(jìn)行風(fēng)險(xiǎn)評(píng)估,通過(guò)執(zhí)行分析,確定高風(fēng)險(xiǎn)因子,制定并實(shí)施改進(jìn)措施,對(duì)比運(yùn)用FEMA前后RPN控制效果和清洗效果,將眼科精密器械按使用時(shí)間分為兩組,即對(duì)照組5 046件(2013年1-3月),實(shí)驗(yàn)組6 887件(2013年4-6月)。結(jié)果運(yùn)用FEMA前后,5個(gè)失效模式的RPN值較之前顯著下降,其中4個(gè)失效模式的RPN值100,達(dá)到該院消毒供應(yīng)室風(fēng)險(xiǎn)控制可接受值,1個(gè)失效模式的RPN值為105,屬于風(fēng)險(xiǎn)受控區(qū)間值;實(shí)施FMEA管理后器械清洗質(zhì)量不合格、器械損耗及交接錯(cuò)誤發(fā)生率分別降低8.1%、2.2%、2.4%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論將FMEA模式運(yùn)用于醫(yī)院眼科精密器械的集中式管理中,可用以論證改進(jìn)措施是否有效,方便及時(shí)調(diào)整,可有效促進(jìn)醫(yī)院眼科精密器械質(zhì)量的持續(xù)改進(jìn)。
[Abstract]:Objective to strengthen the centralized management of ophthalmic precision instruments, optimize the management process, improve the cleaning efficiency, reduce wastage and reduce the cost. Methods the quality control group of failure mode and effect analysis (FMEA) was set up in April 2013 to evaluate the risk of centralized management of ophthalmic precision instruments. To determine the high risk factors, formulate and implement improvement measures, compare the control effect and cleaning effect of RPN before and after using FEMA, divide the precision ophthalmic instruments into two groups according to their working time. There were 5 046 cases in the control group (from 1 to 3 months on 2013) and 6 887 cases in the experimental group (from April to June on 2013). Results FEMA was used before and after treatment. The RPN value of five failure modes was significantly lower than that of the previous ones, and the RPN value of 4 failure modes was 100, which reached the acceptable value of risk control in the disinfection supply room of the hospital, and the RPN value of one failure mode was 105. Belongs to the risk controlled interval value; After the implementation of FMEA management, the cleaning quality of the equipment was not up to standard, the equipment wastage and the incidence of hand-over errors were decreased by 8.1% and 2.2%, respectively. Conclusion the application of FMEA model in centralized management of precision ophthalmic instruments in hospitals can be used to demonstrate whether the improvement measures are effective and convenient to adjust in time. It can effectively promote the continuous improvement of the quality of precision ophthalmic instruments in hospitals.
【作者單位】： 江蘇省蘇北人民醫(yī)院消毒供應(yīng)中心;
【基金】：國(guó)家自然科學(xué)基金資助項(xiàng)目(81500759)
【分類號(hào)】：R472.1
【正文快照】： 眼科精密器械因其手術(shù)周轉(zhuǎn)快,價(jià)格昂貴,醫(yī)院以往一直采取門診手術(shù)室護(hù)士自行清洗的模式,但由于其人員緊張,手術(shù)量大,護(hù)士忙于日常的手術(shù)配合工作無(wú)足夠的時(shí)間,加之眼科器械材質(zhì)特殊、精密度高、結(jié)構(gòu)復(fù)雜等特點(diǎn),清洗難度大,很難保證手術(shù)器械的清洗質(zhì)量[1]。對(duì)其實(shí)行集中管理模

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