根因分析法在电外科手术器械及设备安全管理中的应用效果  

Application effect of root cause analysis method in the safety management of electrosurgical instruments and equipment

作　　者：冯春月[1] 晁乐研 李晓莉[1] 牛畅 Feng Chunyue;Chao Leyan;Li Xiaoli;Niu Chang(Sterilization Supply Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;School of Nursing,Shangqiu Medical College,Shangqiu 476000,China)

机构地区：[1]郑州大学第一附属医院消毒供应中心,郑州450000 [2]商丘医学高等专科学校护理学院,商丘476000

出　　处：《中华现代护理杂志》2022年第10期1355-1359,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨根本原因分析法(RCA)在电外科手术器械及设备安全管理中的应用效果。方法回顾性分析郑州大学第一附属医院消毒供应中心2018年2月—2020年3月电外科手术器械安全管理情况,研究对象包括12名医务人员和175例手术患者。采用前后比较法,以2018年2月—2019年2月实施RCA前的89例手术患者为改进前,以2019年3月—2020年3月实施RCA后的86例手术患者为改进后。比较改进前后RCA量化评分、护理人员对手术器械的认知情况,以及器械相关不良事件发生率、患者感染率。结果改进后,12名医务人员的RCA评分均低于改进前,差异有统计学意义(P<0.01);医务人员对手术器械认知评分高于改进前,差异有统计学意义(P<0.01)。改进后患者器械相关不良事件发生率、感染率低于改进前,差异有统计学意义(P<0.05)。结论RCA用于电外科手术器械及设备安全管理中有利于提高护理人员对手术器械及设备的认知情况,降低手术器械不良事件发生率。Objective To explore the application effect of root cause analysis(RCA)in the safety management of electrosurgical instruments and equipment.Methods The safety management of electrosurgical instruments in Sterilization Supply Center of the First Affiliated Hospital of Zhengzhou University from February 2018 to March 2020 was retrospectively analyzed.The research objects included 12 medical staff and 175 surgical patients.Using the before-and-after comparison method,the 89 surgical patients before the implementation of RCA from February 2018 to February 2019 were used as the before improvement,and the 86 surgical patients after the implementation of RCA from March 2019 to March 2020 were used as the after improvement.The RCA score,nursing staff's cognition of surgical equipment,the incidence of equipment-related adverse events and infection rates were compared before and after the implementation of RCA.Results After the improvement,the RCA scores of 12 medical staff were lower than those before the improvement,and the differences were statistically significant(P<0.01).The cognitive scores of medical staff on surgical instrument were higher than before,and the differences were statistically significant(P<0.01).The incidence of device-related adverse events and infection rates in patients after improvement were lower than those before improvement,and the differences were statistically significant(P<0.05).Conclusions The use of RCA in the safety management of electrosurgical instruments and equipment is conducive to improving nursing staff's cognition of surgical instruments and equipment and reducing the incidence of adverse events of surgical instruments.

关 键 词：外科器械 电外科 安全管理 根本原因分析法 消毒供应中心 

分 类 号：R197.323[医药卫生—卫生事业管理]