中国感染控制杂志2024，Vol.23Issue(7)：881-888,8.DOI:10.12138/j.issn.1671-9638.20245158
基于措施优先级的失效模式和效应分析在结直肠术手术部位感染防控中的应用
Application of failure mode and effects analysis based on action priority in the prevention and control of surgical site infection after colorectal surgery
摘要
Abstract
Objective To evaluate the process risk of the implementation of prevention and control measures for surgical site infection(SSI)after colorectal surgery,and explore the application effect of failure mode and effects analysis(FMEA)based on action priority.Methods FMEA based on action priority was adopted to evaluate the whole process of the implementation of prevention and control measures for SSI after colorectal surgery.Prioritiza-tion ranking was conducted according to whether optimized measures were taken.Standard-reaching rate of comp-liance to SSI prevention and control measures as well as SSI incidence before and after the implementation of FMEA were compared.Results After evaluation,there were 7 high-priority and 22 medium-priority prevention and control measures for SSI.The control of medium-priority measures was strengthened,with a focus on developing further preventive and detectable measures for high-priority measures.The re-evaluation results after improvement showed that 7 high-priority measures have been downgraded to medium priority,and 16 medium-priority measures have been downgraded to low priority.Standard-reaching rate of compliance to SSI prevention and control measures in-creased from 77.15％(2 566/3 326)to 92.47％(3 096/3 348),and SSI incidence decreased from 6.04％(58/960)to 2.54％(60/2 364).Conclusion Application of FMEA based on action priority can effectively evaluate the risk of prevention and control process of SSI after colorectal surgery,and adopting preventive risk control measures accord-ing to the current situation can reduce the incidence of SSI after colorectal surgery.关键词
手术部位感染/感染预防与控制/措施优先级/失效模式和效应分析/风险管理Key words
surgical site infection/infection prevention and control/action priority/failure mode and effects ana-lysis/risk management分类
医药卫生引用本文复制引用
吴红曼,黄勋,赖静敏,陈乐陶,付陈超,汤紫媛,周凤,曾翠,曾烂漫,任南..基于措施优先级的失效模式和效应分析在结直肠术手术部位感染防控中的应用[J].中国感染控制杂志,2024,23(7):881-888,8.基金项目
"感·动中国"医疗机构感染预防与控制科研项目(GY2023013-A) （GY2023013-A）
