医疗失效模式与效应分析在呼吸机相关性肺炎控制中的研究分析
发布时间：2019-03-01 17:15
【摘要】：目的应用医疗失效模式与效应分析(Healthcare Failure Mode and Effect Analysis,HFMEA)方法对呼吸机相关性肺炎(VAP)影响因素进行干预,降低感染率。方法在VAP监测过程中,通过组建专业的FMEA团队,制定VAP操作标准及规程,从中分析导致患者感染的各种原因,找出每一步骤的潜在失效模式,计算风险优先数值(Risk priority number,RPN)以及优先干预因素,针对高风险因素采取相应的改进措施并落实。结果与VAP基线调查时的数据相比,进行FMEA后,RPN值由1 615下降至476,差异有统计学意义(P0.05),平均下降了70.5%;VAP感染率由最初的39.55‰降为16.62‰,明显下降。结论 FMEA方法在VAP中的应用,有助于控制VAP的发生,降低感染率。
[Abstract]:Objective to reduce the infection rate of ventilator-associated pneumonia (VAP) by medical failure mode and effect analysis (Healthcare Failure Mode and Effect Analysis,HFMEA). Methods in the course of VAP monitoring, the professional FMEA team was set up, and the operating standards and procedures of VAP were worked out. The causes of infection were analyzed, the potential failure modes of each step were found out, and the (Risk priority number, value of risk priority was calculated. RPN) and priority intervention factors, for high-risk factors to take appropriate measures to improve and implement. Results compared with the data of VAP baseline survey, after FMEA, the RPN value decreased from 1 615 to 476, the difference was statistically significant (P0.05), the average decrease was 70.5%. The infection rate of VAP decreased from 39.55 鈥，
本文编号：2432635
[Abstract]:Objective to reduce the infection rate of ventilator-associated pneumonia (VAP) by medical failure mode and effect analysis (Healthcare Failure Mode and Effect Analysis,HFMEA). Methods in the course of VAP monitoring, the professional FMEA team was set up, and the operating standards and procedures of VAP were worked out. The causes of infection were analyzed, the potential failure modes of each step were found out, and the (Risk priority number, value of risk priority was calculated. RPN) and priority intervention factors, for high-risk factors to take appropriate measures to improve and implement. Results compared with the data of VAP baseline survey, after FMEA, the RPN value decreased from 1 615 to 476, the difference was statistically significant (P0.05), the average decrease was 70.5%. The infection rate of VAP decreased from 39.55 鈥，
本文编号：2432635
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