某三级甲等妇幼保健院应对新冠肺炎疫情的防控管理实践  

COVID-19 prevention and control strategies in a tertiary maternity and child health hospital

作　　者：林海[1] 孙蓬明[1] 王旌[1] 林财兴 缪崇[1] 张正绵 LIN Hai;SUN Pengming;WANG Jing;LIN Caixing;MIAO Chong;ZHANG Zhengmian(Fujian Maternity and Child Health Hospital,Fuzhou 350001,China)

机构地区：[1]福建省妇幼保健院,福建福州350001

出　　处：《现代医院》2022年第12期1934-1937,共4页Modern Hospitals

基　　金：福建省创新战略研究项目(2020R0137)。

摘　　要：目的以风险问题为导向,持续改进医院新冠肺炎疫情防控措施,阻断医院感染传播链,筑牢防线。方法运用失效模式与效应分析(failure mode and effect analysis,FMEA)方法结合PDCA管理工具,对院内新冠肺炎疫情防控环节进行风险评估,查找高风险因素,分析原因,制定有效的整改措施。结果实施整改后,院内新冠肺炎疫情防控环节9项高风险因素的总RPN值下降了82.98%。结论将FMEA方法与PDCA管理工具结合应用于院内新冠肺炎疫情防控的风险管理,可及时发现高风险隐患,有助于精准防控、持续改进,不断完善制度、流程,降低医院感染风险,保障医疗安全。Objective To continuously improve the COVID-19 prevention and control measures,block the transmission chain of nosocomial infection,and build a solid defense line based on risk problems.Methods Failure mode and effect analysis(FMEA)combined with PDCA management tool was used to evaluate the risk of COVID-19 prevention and control in hospital,find out the high risk factors,analyze the causes,and formulate effective corrective measures.Results After the implementation of the rectification,the total RPN value of 9 high-risk factors in the COVID-19 prevention and control decreased by 82.98%.Conclusion The application of FMEA and PDCA management tool in the COVID-19 risk management can timely find out high risk factors,contribute to accurate prevention and control,constantly improve the system and process,reduce the risk of nosocomial infection,and ensure medical safety.

关 键 词：FMEA PDCA 新冠肺炎 感染防控措施 

分 类 号：R197.5[医药卫生—卫生事业管理] R183.3[医药卫生—公共卫生与预防医学]