医疗保健失效模式与效应分析 (HFMEA) 提高消毒质量监测过程合格率。

Healthcare failure mode and effect analysis (HFMEA) for improving the qualification rate of disinfection quality monitoring process.

机构信息

Department of Hospital Infection Control, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

J Infect Public Health. 2020 May;13(5):718-723. doi: 10.1016/j.jiph.2020.02.040. Epub 2020 Apr 3.

DOI:10.1016/j.jiph.2020.02.040

PMID:32253173

Abstract

BACKGROUND

This study aimed to assess potential failure mode, implement countermeasures against risks and improve disinfection quality monitoring using healthcare failure mode and effect analysis (HFMEA).

METHODS

Between July 2017 and March 2018, a multidisciplinary team was formed to conduct HFMEA and implement improvement interventions. Fourteen monitoring departments and seven monitoring items were involved. The qualification rate of monitoring process was used to evaluate the influence of HFMEA on the standardization monitoring management of disinfection quality.

RESULTS

After HFMEA, the qualification rate of overall monitoring process of disinfection quality improved from 16.5% to 78.7% (P < 0.001), and the qualification rates of each monitoring step were all significantly improved. The qualification rate implemented by the clinical laboratory improved from 20.1% to 100.0% (P < 0.001). The qualification rate implemented by thirteen monitoring departments improved from 20.1% to 78.7% (P < 0.001), where seven reached 100%. Out of seven monitored items, three had the qualification rate of 100.0%, while the remaining four items showed significant rising in qualification rates (P < 0.001).

CONCLUSION

HFMEA were helpful in improving the qualification rate of disinfection effect monitoring process.

摘要

背景

本研究旨在使用医疗保健失效模式与影响分析（HFMEA）评估潜在失效模式，针对风险采取对策，并改进消毒质量监测。

方法

2017 年 7 月至 2018 年 3 月，组建多学科团队进行 HFMEA 并实施改进措施。涉及 14 个监测部门和 7 个监测项目。采用监测过程合格率评价 HFMEA 对消毒质量规范化监测管理的影响。

结果

HFMEA 后，消毒质量整体监测过程合格率从 16.5%提高到 78.7%（P<0.001），各监测步骤合格率均显著提高。临床检验科实施合格率从 20.1%提高到 100.0%（P<0.001）。13 个监测部门的实施合格率从 20.1%提高到 78.7%（P<0.001），其中 7 个达到 100%。7 个监测项目中，3 项合格率达到 100.0%，其余 4 项合格率显著提高（P<0.001）。