Hu Li, Zhao Fangbing, Xie Bingying, Liu Zuolin, Zheng Jing
Stomatology Clinic of Zhujiang Hospital, Southern Medical University Guangzhou, Guangdong, China.
Department of Infection Management, Zhujiang Hospital, Southern Medical University Guangzhou, Guangdong, China.
Am J Transl Res. 2024 May 15;16(5):1969-1976. doi: 10.62347/UHML7117. eCollection 2024.
To explore the application value of the Failure Mode and Effects Analysis (FMEA) method in the risk management of needlestick injuries among oral healthcare personnel.
A total of 37 healthcare workers from the dental department of Zhujiang Hospital, Southern Medical University, were selected as study subjects. Routine risk management procedures were followed from January 2021 to December 2021, serving as the control group, while FMEA-based risk management was implemented from January 2022 to December 2022, representing the research group. The Risk Priority Number (RPN) was calculated, and interventions were implemented for the top five identified failure modes. The RPN score, incidence of needlestick injuries, healthcare personnel's knowledge and awareness levels, prevention behavior, and rate of satisfaction with management were compared between the two groups.
FMEA-based risk management identified weak knowledge of protection, disorganized placement of sharp instruments, failure to adhere to operational standards, improper operational procedures, and insufficient regulations for preventing needlestick injuries as the top five failure modes. The RPN scores for these modes were significantly lower in the research group (P<0.05). The research group also experienced a lower frequency and incidence of needlestick injury (P<0.05), along with higher levels of healthcare knowledge, awareness of prevention, and prevention behavior (P<0.05). Additionally, satisfaction with management was higher in the research group compared to the control group (P<0.05).
FMEA-based risk management can improve the ability of oral healthcare personnel to prevent needlestick injury, reduce the occurrence of such incidents, and enhance satisfaction with management. This approach holds promise for wider adoption.
探讨失效模式与效应分析(FMEA)方法在口腔医护人员针刺伤风险管理中的应用价值。
选取南方医科大学珠江医院口腔科的37名医护人员作为研究对象。2021年1月至2021年12月遵循常规风险管理程序,作为对照组,而2022年1月至2022年12月实施基于FMEA的风险管理,作为研究组。计算风险优先数(RPN),并对识别出的前五种失效模式实施干预措施。比较两组的RPN得分、针刺伤发生率、医护人员的知识和意识水平、预防行为以及对管理的满意度。
基于FMEA的风险管理识别出防护知识薄弱、锐器放置无序、未遵守操作规范、操作程序不当以及针刺伤预防规定不足为前五种失效模式。研究组这些模式的RPN得分显著更低(P<0.05)。研究组针刺伤的发生频率和发生率也更低(P<0.05),同时医护知识、预防意识和预防行为水平更高(P<0.05)。此外,研究组对管理的满意度高于对照组(P<0.05)。
基于FMEA的风险管理可提高口腔医护人员预防针刺伤的能力,减少此类事件的发生,并提高对管理的满意度。这种方法有望得到更广泛的应用。