【摘要】：目的應(yīng)用醫(yī)療失效模式與效應(yīng)分析(Healthcare Failure Mode and Effect Analysis,HFMEA)方法對(duì)呼吸機(jī)相關(guān)性肺炎(VAP)影響因素進(jìn)行干預(yù),降低感染率。方法在VAP監(jiān)測(cè)過程中,通過組建專業(yè)的FMEA團(tuán)隊(duì),制定VAP操作標(biāo)準(zhǔn)及規(guī)程,從中分析導(dǎo)致患者感染的各種原因,找出每一步驟的潛在失效模式,計(jì)算風(fēng)險(xiǎn)優(yōu)先數(shù)值(Risk priority number,RPN)以及優(yōu)先干預(yù)因素,針對(duì)高風(fēng)險(xiǎn)因素采取相應(yīng)的改進(jìn)措施并落實(shí)。結(jié)果與VAP基線調(diào)查時(shí)的數(shù)據(jù)相比,進(jìn)行FMEA后,RPN值由1 615下降至476,差異有統(tǒng)計(jì)學(xué)意義(P0.05),平均下降了70.5%;VAP感染率由最初的39.55‰降為16.62‰,明顯下降。結(jié)論 FMEA方法在VAP中的應(yīng)用,有助于控制VAP的發(fā)生,降低感染率。
[Abstract]:Objective to reduce the infection rate of ventilator-associated pneumonia (VAP) by medical failure mode and effect analysis (Healthcare Failure Mode and Effect Analysis,HFMEA). Methods in the course of VAP monitoring, the professional FMEA team was set up, and the operating standards and procedures of VAP were worked out. The causes of infection were analyzed, the potential failure modes of each step were found out, and the (Risk priority number, value of risk priority was calculated. RPN) and priority intervention factors, for high-risk factors to take appropriate measures to improve and implement. Results compared with the data of VAP baseline survey, after FMEA, the RPN value decreased from 1 615 to 476, the difference was statistically significant (P0.05), the average decrease was 70.5%. The infection rate of VAP decreased from 39.55 鈥，

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