失效模式与效应分析在消毒供应中心持续质量改进中的应用

Application of failure mode and effect analysis in continuous quality improvement of central sterile supply department

目的探讨失效模式与效应分析(FMEA)在消毒供应中心(CSSD)持续质量改进中的应用效果。方法选取FMEA实施前2017年2-6月CSSD的10 524件复用医疗器械为对照组,选取FMEA实施后2017年7-11月CSSD的10 569件复用医疗器械为观察组。比较两组失效模式RPN值的变化情况和CSSD工作人员工作质量。结果观察组相较对照组的器械清洗不彻底、交接错误、精密器械发生损毁、器械周转不足、发送不及时的风险分别下降(P <0. 05);观察组CSSD工作人员手术器械管理、无菌物品管理、CSSD环境管理、问题解决效率以及服务态度评分较对照组显著提高(P <0. 05)。结论 FMEA能够排序优先解决的问题,降低潜在风险,提高CSSD的工作质量。

Objective To investigate the application effect of failure mode and effect analysis( FMEA) in continuous quality improvement of central sterile supply department( CSSD). Methods To select 10,524 CSSD reused medical devices from February to June 2017 before FMEA implementation as the control group,and 10,569 CSSD reused medical devices from July to November 2017 after FMEA implementation were selected as the observation group. The changes of the failure mode RPN values and the work quality of CSSD staff were compared between the two groups. Results Compared with the control group,the risk of incomplete equipment cleaning,handover errors,damage to precision equipment,insufficient equipment turnover,and untimely delivery of the observation group respectively were lower than those of the control group( P < 0. 05). Surgical instrument management,aseptic materials management,CSSD environment management,problem-solving efficiency,and service attitude scores of CSSD staff in observation group were significantly higher than those of the control group( P < 0. 05). Conclusion FMEA could prioritize problems to be solved,reduce potential risks,and improve the quality of CSSD work.