医疗失效模式与效应分析在新生儿医院感染防控中的应用

Application of Healthcare Failure Modes and Effects Analysis in Neonatal Hospital Infection Prevention and Control

目的研究医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)在新生儿医院感染防控中的应用效果。方法选取揭阳市人民医院新生儿中心2020年7月—2021年6月住院患儿1150例为对照组,2021年7月—2022年6月住院患儿1353例为观察组。对照组应用常规感染防控管理模式,观察组应用HFMEA管理模式进行医院感染防控干预。比较2组新生儿医院感染例次发病率、工作人员(医护、保洁)医院感染知识知晓率、手卫生依从率和正确率。结果观察组新生儿医院感染例次发病率为3.92%,低于对照组的5.65%,差异有统计学意义(P<0.05)。观察组医护人员医院感染知识知晓率、手卫生依从率、手卫生正确率为93.25%、90.25%、88.98%,高于对照组的51.84%、80.64%、79.94%,差异有统计学意义(P<0.05)。观察组保洁人员医院感染知识知晓率、手卫生依从率、手卫生正确率为91.15%、76.71%、75.71%,高于对照组的65.31%、60.65%、62.50%,差异有统计学意义(P<0.05)。结论应用HFMEA对新生儿中心进行科学管理,可有效指导新生儿医院感染防控,提升医院感染管理水平。

Objective To evaluate the application effect of healthcare failure mode and effects analysis(HFMEA)in preventing and controlling neonatal hospital infections.Methods A total of 1150 hospitalized infants from July 2020 to June 2021 in the neonatal center of Jieyang People′s Hospital were selected as the control group,and 1353 hospitalized infants from July 2021 to June 2022 were selected as the observation group.The control group received routine infection prevention and control management model,while the observation group applied the HFMEA model for infection prevention and control management.The incidence rate of neonatal nosocomial infection,the awareness rate of hospital infection knowledge,the compliance rate of hand hygiene and the correct rate were compared between the two groups.Results The incidence of nosocomial infection in the observation group was 3.92%,lower than that in the control group(5.65%),and the difference was statistically significant(P<0.05).The awareness rate of nosocomial infection knowledge,compliance rate of hand hygiene and correct rate of hand hygiene in observation group were 93.25%,90.25%and 88.98%,which were higher than 51.84%,80.64%and 79.94%in control group,with statistical significance(P<0.05).The awareness rate of nosocomial infection knowledge,compliance rate of hand hygiene and correct rate of hand hygiene in the observation group were 91.15%,76.71%and 75.71%,which were higher than 65.31%,60.65%and 62.50%in the control group,with statistical significance(P<0.05).Conclusion The application of HFMEA for the scientific management of neonatal centers can effectively facilitate the prevention and control of neonatal hospital infections and improve the level of hospital infection management.