基于失效模式与效应分析法的管理在ICU患者多重耐药菌医院感染风险管理中的应用效果  

Application Effect of Management Based on Failure Mode and Effects Analysis in Risk Management of Nosocomial Infection of Multidrug-resistant Bacteria in Intensive Care Unit Patients

作　　者：李梅 成晓莹 成向进 Li Mei;Cheng Xiaoying;Cheng Xiangjin(Yancheng TCM Hospital,Yancheng 224000,Jiangsu Province,China)

机构地区：[1]盐城市中医院,江苏盐城224000

出　　处：《中国社区医师》2025年第1期162-164,共3页Chinese Community Doctors

摘　　要：目的:探讨基于失效模式与效应分析法(FMEA)的管理在重症监护室(ICU)患者多重耐药菌医院感染风险管理中的应用效果。方法:选取2022年6—12月盐城市中医院ICU住院患者120例与43名工作人员作为对照组(实施常规管理),选取2023年1—6月盐城市中医院ICU住院患者120例与43名工作人员作为观察组(实施基于FMEA的管理)。比较两组管理效果。结果:观察组手卫生依从率低、手卫生正确率低、个人防护执行不到位风险优先数(RPN)值低于对照组(P<0.001)。观察组多重耐药菌医院感染发生率为3.33%,低于对照组(P<0.05)。结论:基于FMEA的管理在ICU患者多重耐药菌医院感染风险管理中的应用效果显著,能提高工作人员工作质量,有效减少患者多重耐药菌医院感染风险。Objective:To explore the application effect of management based on failure mode and effects analysis(FMEA)in risk management of nosocomial infection of multidrug-resistant bacteria in intensive care unit(ICU)patients.Methods:A total of 120 ICU inpatients and 43 staff members in Yancheng TCM Hospital from June 2022 to December 2022 were selected as the control group(routine management was implemented),and 120 ICU inpatients and 43 staff members in Yancheng TCM Hospital from January 2023 to June 2023 were selected as the observation group(FMEA-based management was implemented).The management effect was compared between the two groups.Results:The hand hygiene compliance rate,the hand hygiene accuracy,and the risk priority number(RPN)value of inadequate implementation of personal protection in the observation group were lower than those in the control group(P<0.001).The incidence of nosocomial infection of multidrug-resistant bacteria in the observation group was 3.33%,which was lower than that in the control group(P<0.05).Conclusion:The application of FMEA-based management in the risk management of nosocomial infection of multidrug-resistant bacteria in ICU patients has significant effects,and can improve the work quality of staff members and effectively reduce the risk of nosocomial infection of multidrug-resistant bacteria in patients.

关 键 词：失效模式与效应分析法 重症监护室 多重耐药菌 医院感染 

分 类 号：R181.32[医药卫生—流行病学]