FMEA在消毒供应中心口腔科器械管理中的应用效果  

Application of the failure mode and effect analysis in the management of dental instruments in the Central Sterile Supply Department

作　　者：易建平[1] 陈黔[1] 曾淑蓉 毛媛 YI Jianping;CHEN Qian;ZENG Shurong(Central Sterile Supply Department,the First Affiliated Hospital of Chengdu Medical College,Sichuan,Chengdu 610500,China;不详)

机构地区：[1]成都医学院第一附属医院消毒供应中心,成都市610500 [2]四川大学华西口腔医院 [3]三六三医院消毒供应中心

出　　处：《河北医药》2024年第2期257-260,共4页Hebei Medical Journal

基　　金：成都市卫生健康委医学科研课题(编号:2022190)。

摘　　要：目的探讨失效模式与效应分析(FMEA)在消毒供应中心口腔科器械管理中的应用效果。方法自2019年12月起,医院消毒供应中心开始通过FMEA对口腔科器械实施管理。于FMEA实施前后所使用的口腔器械中随机选取1638件,对其展开FMEA分析,对比实施前后的失效模式危急值(Risk Priority Number,RPN)、器械管理效果及服务满意度。结果FMEA实施后的口腔器械交接数目不符合、器械损坏、器械包装名称错误、器械清洗、消毒与灭菌不合格的RPN值明显比实施前低(P<0.05);FMEA实施后的口腔科器械清洗、包装合格率比实施前高,器械耗损率、湿包发生率比实施前低,及时发放率比实施前高(P<0.05);实施后的服务满意度总分实施前高(P<0.05)。结论消毒供应中心对口腔科器械展开管理时,应用FMEA并针对分析结果制定相应措施可有效降低口腔科器械管理中的风险,提升器械管理效果,并且有助于提升服务满意度。Objective OBJECTIVE To evaluate the application of the Failure Mode and Effect Analysis(FMEA)in the management of dental instruments in the Central Sterile Supply Department(CSSD).Methods Since December 2019,the FMEA in managing the sterile processing of the dental instruments was performed in the CSSD.A total of 1638 dental instruments were randomly selected from the period before and after the implementation of FMEA,and the effect of FMEA was analyzed by comparing the risk priority number (RPN),instrument management effect,and sterile processing service satisfaction.Results After FMEA implementation,the RPN values associated with the inconsistent number of handoveRoral instruments,instrument damage,instrument package errors,instrument cleaning,disinfection and sterilization failures were significantly lower than those before the implementation(P<0.05).The passing rate of dental instruments cleaning and packaging,the failure rate of instrument wearing,the incidence rate of wet packs,and the rate of on-time sterile packages distribution were all significantly higher after the implementation of FMEA than those before(P<0.05).The overall sterile processing service satisfaction score after the implementation of FMEA was significantly higher than that before(P<0.05).Conclusion In the management of dental instruments in CSSD,FMEA and corresponding measures based on the analysis results can effectively reduce the risks associated with the dental instruments reprocessing and increase clinical satisfaction through improving the quality levels in cleaning,packaging and sterilization assurance of the dental instruments.

关 键 词：失效模式与效应分析 消毒供应中心 口腔科器械 管理 

分 类 号：R197.323[医药卫生—卫生事业管理]