失效模式与效应分析在眼科精密器械集中式管理中的应用

发布时间：2018-01-18 13:31

本文关键词：失效模式与效应分析在眼科精密器械集中式管理中的应用　出处：《中华医院感染学杂志》2016年20期 　论文类型：期刊论文

【摘要】：目的加强眼科精密器械的集中式管理,优化管理流程,提高器械清洗效率,减少损耗,降低成本,提高交接准确率。方法 2013年4月成立失效模式与效应分析(FMEA)质控组,对眼科精密器械的集中式管理进行风险评估,通过执行分析,确定高风险因子,制定并实施改进措施,对比运用FEMA前后RPN控制效果和清洗效果,将眼科精密器械按使用时间分为两组,即对照组5 046件(2013年1-3月),实验组6 887件(2013年4-6月)。结果运用FEMA前后,5个失效模式的RPN值较之前显著下降,其中4个失效模式的RPN值100,达到该院消毒供应室风险控制可接受值,1个失效模式的RPN值为105,属于风险受控区间值;实施FMEA管理后器械清洗质量不合格、器械损耗及交接错误发生率分别降低8.1%、2.2%、2.4%,差异有统计学意义(P0.05)。结论将FMEA模式运用于医院眼科精密器械的集中式管理中,可用以论证改进措施是否有效,方便及时调整,可有效促进医院眼科精密器械质量的持续改进。
[Abstract]:Objective to strengthen the centralized management of ophthalmic precision instruments, optimize the management process, improve the cleaning efficiency, reduce wastage and reduce the cost. Methods the quality control group of failure mode and effect analysis (FMEA) was set up in April 2013 to evaluate the risk of centralized management of ophthalmic precision instruments. To determine the high risk factors, formulate and implement improvement measures, compare the control effect and cleaning effect of RPN before and after using FEMA, divide the precision ophthalmic instruments into two groups according to their working time. There were 5 046 cases in the control group (from 1 to 3 months on 2013) and 6 887 cases in the experimental group (from April to June on 2013). Results FEMA was used before and after treatment. The RPN value of five failure modes was significantly lower than that of the previous ones, and the RPN value of 4 failure modes was 100, which reached the acceptable value of risk control in the disinfection supply room of the hospital, and the RPN value of one failure mode was 105. Belongs to the risk controlled interval value; After the implementation of FMEA management, the cleaning quality of the equipment was not up to standard, the equipment wastage and the incidence of hand-over errors were decreased by 8.1% and 2.2%, respectively. Conclusion the application of FMEA model in centralized management of precision ophthalmic instruments in hospitals can be used to demonstrate whether the improvement measures are effective and convenient to adjust in time. It can effectively promote the continuous improvement of the quality of precision ophthalmic instruments in hospitals.
【作者单位】：江苏省苏北人民医院消毒供应中心;
【基金】：国家自然科学基金资助项目(81500759)
【分类号】：R472.1
【正文快照】： 眼科精密器械因其手术周转快,价格昂贵,医院以往一直采取门诊手术室护士自行清洗的模式,但由于其人员紧张,手术量大,护士忙于日常的手术配合工作无足够的时间,加之眼科器械材质特殊、精密度高、结构复杂等特点,清洗难度大,很难保证手术器械的清洗质量[1]。对其实行集中管理模

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