摘要
目的探讨失效模式与效应分析(FMEA)在消化内镜清洗消毒质量控制中的应用效果。方法采取风险优先指数(RPN)和措施优先度(AP)相结合的方式,应用FMEA法对消化内镜清洗消毒质量影响因素进行风险识别、分析及评价,筛选出需要采取干预措施的高风险点并制定针对性的干预措施进行风险控制,并对控制效果进行评价。结果从组织架构、制度流程、自查督导不完善;人员管理不到位;布局及设备设施不符要求;操作流程不规范和监测不到位这五大方面共44个风险点进行风险评估,发现有9大风险点的RPN值超过125,其中3大风险点的AP值为“H”,采取相应改进措施后,改进效果良好。结论采取RPN和AP相结合的FMEA法对消化内镜清洗消毒质量影响因素进行风险评估,可以有效识别高风险点,提高消化内镜清洗消毒质量。
OBJECTIVE To explore the application effect of failure mode and effect analysis(FMEA)on quality control of cleaning and disinfection of gastrointestinal endoscopes.METHODS By means of risk priority number(RPN)combined with action priority(AP),the influencing factors for quality of cleaning and disinfection of gastrointestinal endoscopes were identified for risk,analyzed and evaluated.The high risk points that needed to take intervention measures were screened out,the targeted intervention measures were formulated for risk control,and the effect on control of the risk was evaluated.RESULTS Totally five categories including imperfect organizational structure,system flow and self-supervision,poor personnel management,unqualified layouts and equipment facilities,unstandardized operation procedures and poor supervision,covering 44 risk points,were evaluated for risk.There were 9 risk points with the RPN greater than 125,3 of which were with the AP value of'H',and the improvement effect was favorable after the targeted intervention measures were taken.CONCLUSION FMEA based on RPN combined with AP can be used for risk assessment of the influencing factors for the quality of cleaning and disinfection of gastrointestinal endoscopes,effectively identify the high risk points and improve the quality of cleaning and disinfection of the gastrointestinal endoscopes.
作者
彭威军
唐锦辉
徐敏
谭昆
许川
魏诗晴
杨莉
谭莉
PENG Wei-jun;TANG Jin-hui;XU Min;TAN Kun;XU Chuan;WEI Shi-qing;YANG Li;TAN Li(Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2024年第17期2698-2703,共6页
Chinese Journal of Nosocomiology
基金
湖北省自然科学基金项目(2023AFB132)。
