Department of Sterile Processing Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Sci Rep. 2022 Nov 16;12(1):19708. doi: 10.1038/s41598-022-24282-7.
Surgical instrument packaging defects may affect the safety of medical care and patients and waste the hospital workforce, material resources, and financial resources. This study explored the application of healthcare failure mode and effect analysis in controlling surgical instrument packaging defects. We retrospectively evaluated the packaging process of 183,642 surgical instruments packaged in our hospital during January-June 2020 using the healthcare failure mode and effect analysis. Besides, we used a decision tree model to determine the steps requiring improvement and formulate the improvement measures. We applied the improvement measures to 190,231 surgical instrument packs packaged in our hospital during July-December 2020. Based on the healthcare failure mode and effect analysis, we compared the packaging defect rates before and after adopting the improvement measures. Of the 183,642 packs selected before adopting the improvement measures, 98 defects occurred, with a defect rate of 0.053%. However, of the 190,231 packs selected after adopting the improvement measures, 22 defects occurred, with a defect rate of 0.012%. The defect rate of surgical instrument packaging handled by the central sterile supply department staff was significantly reduced (χ = 50.822, P = 0.001) after adopting the improvement measures. Using the medical failure mode and effect analysis method to control the defects in surgical instrument packaging can effectively reduce the packaging defect rate, ensuring patient safety.
手术器械包装缺陷可能会影响医疗安全和患者安全，浪费医院的劳动力、物力和财力。本研究探讨了医疗失效模式与效应分析在控制手术器械包装缺陷中的应用。我们采用医疗失效模式与效应分析，回顾性评估了 2020 年 1 月至 6 月期间我院 183642 件手术器械的包装过程。此外，我们还使用决策树模型确定需要改进的步骤，并制定改进措施。我们在 2020 年 7 月至 12 月期间将改进措施应用于我院 190231 件手术器械包。基于医疗失效模式与效应分析，我们比较了采用改进措施前后的包装缺陷率。在采用改进措施之前，我们从 183642 个包装中选择了 98 个缺陷，缺陷率为 0.053%。然而，在采用改进措施之后，我们从 190231 个包装中选择了 22 个缺陷，缺陷率为 0.012%。采用医疗失效模式与效应分析方法控制手术器械包装缺陷，可显著降低中心供应室工作人员处理的手术器械包装缺陷率（χ²=50.822，P=0.001）。
