中国感染控制杂志2026，Vol.25Issue(5)：716-723,8.DOI:10.12138/j.issn.1671-9638.20263005
失效模式与效应分析联合多重耐药菌主动筛查在神经内科ICU医院感染防控中的应用
Application of failure mode and effect analysis combined with multidrug-resistant organism active screening in the prevention and control of health-care-associated infection in neurology intensive care unit
摘要
Abstract
Objective To explore the application effectiveness of failure mode and effect analysis(FMEA)combined with multidrug-resistant organism(MDRO)active screening in healthcare-associated infection(HAI)control in the neurology intensive care unit(ICU).Methods Combined with the actual clinical situation of neurology ICU,risk priority events were identified by FMEA risk assessment method,and continuous improvement measures were formulated.Combined with MDRO active screening,effectiveness of HAI prevention and control before and after the implementation of FMEA risk assessment as well as before and after combining active screening was compared.Results After the implementation of the FMEA risk assessment,hand hygiene compliance rate increased from 68.78%to 85.02%,detection rate of MDRO decreased from 39.47%to 25.51%,both with statistically significant difference(both P<0.001).The case incidence of HAI,incidence of ventilator-associated pneumonia,and case incidence of MDRO HAI all decreased,but the differences were not statistically significant(all P>0.05).After combining MDRO active screening,MDRO detection rate presented a decreasing trend,with statistically significant differences(P<0.001).Conclusion The combination of FMEA risk assessment and MDRO active screening can effectively reduce the case incidence of HAI and case incidence of MDRO HAI in the neurology ICU.关键词
失效模式与效应分析/风险评估/多重耐药菌/主动筛查/医院感染防控Key words
failure mode and effect analysis/risk assessment/multidrug-resistant organism/active screening/healthcare-associated infection prevention and control分类
医药卫生引用本文复制引用
李凤容,颜小利,鲁斯佳,赵嘉哲,刘琼..失效模式与效应分析联合多重耐药菌主动筛查在神经内科ICU医院感染防控中的应用[J].中国感染控制杂志,2026,25(5):716-723,8.基金项目
湖南省卫生健康委科研计划项目(D202315026215) （D202315026215）
