本文關(guān)鍵詞：FMEA模式對婦產(chǎn)科住院患者醫(yī)院感染的防控效果　出處：《中華醫(yī)院感染學(xué)雜志》2017年18期 　論文類型：期刊論文

  更多相關(guān)文章： FMEA模式 婦產(chǎn)科 醫(yī)院感染 高風(fēng)險指數(shù) 預(yù)防控制效果

【摘要】：目的分析失效模式與效應(yīng)分析(FMEA)模式對婦產(chǎn)科住院患者醫(yī)院感染的防控效果。方法自2013年其院內(nèi)成立FMEA團隊,根據(jù)FMEA模式對婦產(chǎn)科患者醫(yī)院感染的主要原因進行分析,計算高風(fēng)險指數(shù)(RPN),進行評估,并制定實施改進方案并評估效果,選取2013年1月-2015年12月醫(yī)院婦產(chǎn)科診斷并進行院內(nèi)手術(shù)和治療的患者4926例作為實驗組,實施根據(jù)FMEA模式改進后的護理管理模式,分析方案實施后婦產(chǎn)科患者醫(yī)院感染率,2010年1月-2012年12月住院婦產(chǎn)科患者4336例作為對照組,比較兩組患者的感染率、RPN。結(jié)果對照組和實驗組的感染致病菌無明顯差異,感染比例對照組高于實驗組;兩組患者的感染部位均主要發(fā)生在泌尿道、呼吸道、消化道,總體感染率對照組為14.21%高于實驗組的8.85%,差異有統(tǒng)計學(xué)意義(P0.05);統(tǒng)計對照組的RPN值,應(yīng)用FMEA模式后,實驗組的實施改進措施后RPN(RPN=12,12,12,8,8,18)低于對照組(RPN=24,36,18,24,12,36),住院婦產(chǎn)科患者的醫(yī)院感染率由14.21%下降至8.85%,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論應(yīng)用FMEA模式對于婦產(chǎn)科患者醫(yī)院感染的防控效果進行評估并實施改進方案,能降低婦產(chǎn)科患者院內(nèi)的感染率,對于住院婦產(chǎn)科患者院內(nèi)感染有著良好的預(yù)防控制效果,能夠有效地規(guī)避風(fēng)險,有助于醫(yī)院提供更好的護理管理服務(wù)。
[Abstract]:Objective to analyze the effect of failure mode and effect analysis (FMEA) on the prevention and control of hospital infection in obstetrics and gynecology patients. Methods from 2013 the Institute was established within the FMEA team, according to the FMEA model to analyze the main causes of nosocomial infection in Department of Obstetrics and Gynecology, calculation of high risk index (RPN), evaluate and develop the implementation of improved scheme and effect evaluation, from January 2013 -2015 year in December the hospital for obstetrics and Gynecology diagnosis and surgical treatment of 4926 patients with patients as the experimental group, according to the implementation of nursing management model FMEA model improved the rate of hospital infections in obstetrics and Gynecology analysis after the implementation of the program, January 2010 -2012 year in December the hospital of Obstetrics and gynecology patients 4336 cases as control group, compared two groups of patients with the infection rate, RPN. The results of experimental and control groups of pathogens had no significant difference in infection rate of control group is higher than the experimental group; the site of infection in patients of the two groups were mainly occurred in the urinary tract, respiratory tract, digestive tract, the overall infection rate in control group was 14.21% higher than that of the experimental group 8.85%, the difference was statistically significant (P0.05); statistics the control group RPN, using FMEA mode, the implementation of the experimental group improved RPN (RPN=12,12,12,8,8,18) lower than that of the control group (RPN=24,36,18,24,12,36), hospitalized patients in Department of Obstetrics and gynecology hospital infection rate decreased from 14.21% to 8.85%, the difference was statistically significant (P0.05). Conclusion the application of FMEA mode for the prevention and control of nosocomial infection in Department of gynecology and obstetrics to assess the effectiveness and implementation of the improvement plan, it can reduce the incidence of nosocomial infection in Department of Obstetrics and Gynecology, obstetrics and gynecology hospital for patients with nosocomial infection prevention has a good control effect, can effectively avoid risks, will help provide a better service to the hospital nursing management.
【作者單位】： 四川綿陽404醫(yī)院婦產(chǎn)科;四川綿陽404醫(yī)院院感科;四川綿陽404醫(yī)院醫(yī)務(wù)處;
【分類號】：R473.71
【正文快照】： 近年來,隨著人們生活水平的提高,對于醫(yī)療服務(wù)水平及醫(yī)院護理服務(wù)的要求提高,醫(yī)院內(nèi)感染預(yù)防和控制工作要求復(fù)雜,如何減少患者院內(nèi)感染成為眾多醫(yī)護人員面對的難題[1]。失效模式與效應(yīng)分析法(FMEA)是在事故發(fā)生前,在設(shè)計階段進行的前瞻性研究的分析方法,針對可能失效的因素進

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