Qu R R, Ye C F
The Eye Hospital of Wenzhou Medical University, Wenzhou 325200, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Jun 20;36(6):448-451. doi: 10.3760/cma.j.issn.1001-9391.2018.06.014.
To discuss the application of failure mode and effect analysis to improve the hand hygiene compliance of medical staff in eye hospital. To form failure mode and effect analysis (FMEA) quality control team. By using FMEA method of risk management, to analyze the risk factors of hand hygiene compliance of medical staff in eye hospital. By performing analysis, to determine the high risk factors, develop and implement the improvement measures to reduce the risk of these factors. the awareness rate of hand hygiene knowledge was increased significantly after the implementation of failure mode and effect analysis (<0.01) , the correct rate of hand-washing method, and the implementing rate of 5 hand hygiene were increased significantly (<0.05) . After the implementation of FMEA, the usage amount of hand washing liquid and quick hand disinfectant was increased from 13 292 ml to 28 390 ml, and difference of the hand hygiene qualification rate was statistically significant (<0.05) . The application of FMEA contributes to analyze the causes of hand hygiene failure, and guide the development of improvement measures, which can effectively improve the hand hygiene compliance of medical staff, thereby reducing nosocomial infection.
探讨失效模式与效应分析在提高眼科医院医务人员手卫生依从性中的应用。组建失效模式与效应分析（FMEA）质量控制小组。采用风险管理的FMEA方法，分析眼科医院医务人员手卫生依从性的风险因素。通过分析确定高风险因素，制定并实施改进措施以降低这些因素的风险。实施失效模式与效应分析后，手卫生知识知晓率显著提高（<0.01），洗手方法正确率、5项手卫生执行率显著提高（<0.05）。实施FMEA后，洗手液和快速手消毒剂使用量从13292毫升增加到28390毫升，手卫生合格率差异有统计学意义（<0.05）。FMEA的应用有助于分析手卫生失败的原因，指导改进措施的制定，能有效提高医务人员手卫生依从性，从而减少医院感染。
