RCA对消毒供应中心不良事件的干预作用  

Root cause analysis as an intervention on adverse events in the disinfection and supply center

作　　者：黎平[1] 

机构地区：[1]四川省自贡市第一人民医院,四川自贡643000

出　　处：《实用临床医药杂志》2014年第E02期232-233,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨消毒供应中心不良事件干预措施的有效性，旨在指导正确的操作方法及最大限度避免不良事件的发生。方法采用根本原因分析法（RCA）对2012年、2013年常见不良事件进行问题总结、原因分析、对应处理，评价干预措施前后的效果。结果2013年不良事件例数显著低于2012年（P〈0．05）。结论完善补充相关制度、岗位职责、操作流程、考核标准，定期进行理论与技能的培训及考核，细化环节管理，定期对不良事件进行总结、分析，合理配置人力资源，是消毒供应中心控制不良事件的有力措施。Objective To investigate the application of root cause analysis （RCA） as an intervention on adverse events in disinfection and supply center, in order to reduce the incidence of adverse events. Methods RCA were performed to summarize the adverse events in 2012 and 2013, the effects of intervention was also evaluated before and after implementation. Results The incidence of adverse events was lower in 2013 than those in 2012 （P 〈 0.05）. Conclusion Improvements in system establishment, responsibility, operating procedure, measurement indicators, as well as regular training and examination, refining in link management and arranging human resource, are the important measures to prevent adverse events in disinfection supply center.

关 键 词：不良事件 根本原因分析法 消毒供应中心 

分 类 号：R187[医药卫生—流行病学]