FMEA模式对妇产科住院患者医院感染的防控效果

发布时间：2017-12-28 23:07

本文关键词：FMEA模式对妇产科住院患者医院感染的防控效果　出处：《中华医院感染学杂志》2017年18期 　论文类型：期刊论文

【摘要】：目的分析失效模式与效应分析(FMEA)模式对妇产科住院患者医院感染的防控效果。方法自2013年其院内成立FMEA团队,根据FMEA模式对妇产科患者医院感染的主要原因进行分析,计算高风险指数(RPN),进行评估,并制定实施改进方案并评估效果,选取2013年1月-2015年12月医院妇产科诊断并进行院内手术和治疗的患者4926例作为实验组,实施根据FMEA模式改进后的护理管理模式,分析方案实施后妇产科患者医院感染率,2010年1月-2012年12月住院妇产科患者4336例作为对照组,比较两组患者的感染率、RPN。结果对照组和实验组的感染致病菌无明显差异,感染比例对照组高于实验组;两组患者的感染部位均主要发生在泌尿道、呼吸道、消化道,总体感染率对照组为14.21%高于实验组的8.85%,差异有统计学意义(P0.05);统计对照组的RPN值,应用FMEA模式后,实验组的实施改进措施后RPN(RPN=12,12,12,8,8,18)低于对照组(RPN=24,36,18,24,12,36),住院妇产科患者的医院感染率由14.21%下降至8.85%,差异有统计学意义(P0.05)。结论应用FMEA模式对于妇产科患者医院感染的防控效果进行评估并实施改进方案,能降低妇产科患者院内的感染率,对于住院妇产科患者院内感染有着良好的预防控制效果,能够有效地规避风险,有助于医院提供更好的护理管理服务。
[Abstract]:Objective to analyze the effect of failure mode and effect analysis (FMEA) on the prevention and control of hospital infection in obstetrics and gynecology patients. Methods from 2013 the Institute was established within the FMEA team, according to the FMEA model to analyze the main causes of nosocomial infection in Department of Obstetrics and Gynecology, calculation of high risk index (RPN), evaluate and develop the implementation of improved scheme and effect evaluation, from January 2013 -2015 year in December the hospital for obstetrics and Gynecology diagnosis and surgical treatment of 4926 patients with patients as the experimental group, according to the implementation of nursing management model FMEA model improved the rate of hospital infections in obstetrics and Gynecology analysis after the implementation of the program, January 2010 -2012 year in December the hospital of Obstetrics and gynecology patients 4336 cases as control group, compared two groups of patients with the infection rate, RPN. The results of experimental and control groups of pathogens had no significant difference in infection rate of control group is higher than the experimental group; the site of infection in patients of the two groups were mainly occurred in the urinary tract, respiratory tract, digestive tract, the overall infection rate in control group was 14.21% higher than that of the experimental group 8.85%, the difference was statistically significant (P0.05); statistics the control group RPN, using FMEA mode, the implementation of the experimental group improved RPN (RPN=12,12,12,8,8,18) lower than that of the control group (RPN=24,36,18,24,12,36), hospitalized patients in Department of Obstetrics and gynecology hospital infection rate decreased from 14.21% to 8.85%, the difference was statistically significant (P0.05). Conclusion the application of FMEA mode for the prevention and control of nosocomial infection in Department of gynecology and obstetrics to assess the effectiveness and implementation of the improvement plan, it can reduce the incidence of nosocomial infection in Department of Obstetrics and Gynecology, obstetrics and gynecology hospital for patients with nosocomial infection prevention has a good control effect, can effectively avoid risks, will help provide a better service to the hospital nursing management.
【作者单位】：四川绵阳404医院妇产科;四川绵阳404医院院感科;四川绵阳404医院医务处;
【分类号】：R473.71
【正文快照】： 近年来,随着人们生活水平的提高,对于医疗服务水平及医院护理服务的要求提高,医院内感染预防和控制工作要求复杂,如何减少患者院内感染成为众多医护人员面对的难题[1]。失效模式与效应分析法(FMEA)是在事故发生前,在设计阶段进行的前瞻性研究的分析方法,针对可能失效的因素进

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