医疗失效模式与效应分析在新型冠状病毒肺炎医院感染防控中的应用效果  

Application effect of HFMEA model in the prevention and control of nosocomial infection of coronavirus disease 2019

作　　者：邵蔚 张立[2] 陈艳[2] 黄英 王文慧 张利君 沙莉 Shao Wei;Zhang Li;Chen Yan;Huang Ying;Wang Wenhui;Zhang Lijun;Sha Li(Department of Nosocomial Infection,Nanjing Hospital Affiliated to Nanjing University of traditional Chinese Medicine Nanjing 210003,China;Nursing Department,Nanjing Hospital Affiliated to Nanjing University of traditional Chinese Medicine Nanjing 210003,China;Infectious Disease Department,Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine Nanjing 210003,China)

机构地区：[1]南京中医药大学附属南京医院(南京市第二医院)感染管理科,南京210003 [2]南京中医药大学附属南京医院(南京市第二医院)护理部,南京210003 [3]南京中医药大学附属南京医院(南京市第二医院)感染病科,南京210003

出　　处：《新发传染病电子杂志》2021年第2期129-132,共4页Electronic Journal of Emerging Infectious Diseases

基　　金：江苏省2020年度医院管理创新研究面上指导项目(JSYGY-3-2020-452);南京市医学科技发展资金资助项目(QRX17070)。

摘　　要：目的探讨医疗失效模式与效应分析(healthcare failure mode and effects analysis,HFMEA)在新型冠状病毒肺炎医院感染防控中的应用效果,为患者及医务人员提供安全保障。方法运用HFMEA模式对新型冠状病毒肺炎医院感染防控进行风险评估,针对高风险失效模式进行原因分析及干预措施改进,对隔离病区表面环境进行病毒抽样检测,追踪医务人员健康状况。结果HFMEA干预后,清洁区和潜在污染区表面环境无病毒检出,污染区消毒后表面环境无病毒检出,无医务人员发生新型冠状病毒感染。结论应用HFMEA模式科学评估新型冠状病毒肺炎医院感染防控的高风险环节,能有效控制医院感染,保障患者及医务人员的安全。Objective To investigate the application effect of HFMEA model in the prevention and control of nosocomial infection of coronavirus disease 2019,providing safety protection for patients and medical staff.Methods The HFMEA model was used to evaluate the high risk of coronavirus disease 2019 nosocomial infection,to analyze the causes of high-risk failure modes and to improve intervention measures.Virus sampling on the surface environment of isolated wards was tested,and the health status of medical staff was followed at the same time.Results Applying the HFMEA model to scientifically assess the high-risk factors in the prevention and control of coronavirus disease 2019 nosocomial infection,which can effectively control the nosocomial infection and ensure the safety of patients and medical staff.Conclusion The HFMEA model was used to preventing corona virus disease 2019 effectively and ensured the safety of other patients and medical staff.

关 键 词：医疗失效模式与效应分析 新型冠状病毒肺炎 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]