El Marnissi Safaa, Khomsi Zoubida, Kassy Raymond Sylvestre Allou, El Harti Jaouad, Taoufik Jamal, Chaibi Aicha, Benamar Loubna, Bayahia Rabia
Service de pharmacie clinique et hospitalière, direction du centre hospitalo-universitaire, CHU Ibn Sina de Rabat, rue Lamfadel Cherkaoui, Rabat, Maroc; Faculté de médecine et de pharmacie de Rabat, université Mohammed-V-Rabat, impasse Souissi, 10100 Rabat, Maroc.
Faculté de médecine et de pharmacie de Rabat, université Mohammed-V-Rabat, impasse Souissi, 10100 Rabat, Maroc.
Nephrol Ther. 2020 Mar;16(2):105-117. doi: 10.1016/j.nephro.2019.09.005. Epub 2020 Mar 16.
Hemodialysis is a technique of extra-renal purification associated with high level of risk. The objective is to assess infectious risk during a hemodialysis session on hygiene around the patient in hospital.
An a priori risk assessment by Failure Modes, Effects and Criticality Analysis method (FMECA) was carried out from May to August 2018, in order to overview infectious risk during the process of hemodialysis in the Ibn Sina Hospital (Rabat, Morocco).
Twenty eight failure modes were identified during the hemodialysis process around the patient: fourteen criticality level 1, ten level 2, and four level 3. A prevention plan has been drafted. Three of the four level 3 failure modes were reduced to level 1 and one to level 2.
FMECA have enabled us to identify the potential risks, to reconsider certain procedures and to suggest measure matrix for the coverage of the most critical risks.
This analysis makes it possible, through periodic evaluations, to enter a real quality approach, which reinforces the satisfaction of the patients as well as all the actors of the hemodialysis center.
血液透析是一种与高风险相关的肾外净化技术。目的是评估医院中患者周围卫生状况下血液透析过程中的感染风险。
2018年5月至8月，采用失效模式、效应及危害性分析方法（FMECA）进行了预先风险评估，以概述伊本·西那医院（摩洛哥拉巴特）血液透析过程中的感染风险。
在患者周围的血液透析过程中识别出28种失效模式：14种严重度1级，10种2级，4种3级。已起草了预防计划。4种3级失效模式中的3种降至1级，1种降至2级。
FMECA使我们能够识别潜在风险，重新考虑某些程序，并为覆盖最关键风险提出措施矩阵。
通过定期评估，这种分析使得能够进入一种真正的质量改进方法，从而提高患者以及血液透析中心所有工作人员的满意度。
