医院病理科危化品管理风险分析与防控措施探讨

Risk Analysis and Discussion of Prevention and Control Measures of Hazardous Chemicals in Hospital Pathology Department

目的探讨在病理科危化品管理中,灾害脆弱性分析(HVA)和失效模式与效应分析(FMEA)联合管理模式的应用效果。方法利用HVA与FMEA分析病理科危化品管理中存在的风险,以及措施实施前后RISK、RPN计算结果。结果HVA模式下RISK值确定了塑料壶密闭性较差、二甲苯标签脱落、与无水酒精易混淆使用三项泄漏风险因素,基于失效模式提出了改进措施;改进措施实施后三项高危指标RISK、RPN计算结果均低于实施前(p<0.05)。结论HVA与FMEA联合管理模式可有效控制病理科危化品泄漏风险。

Objective To explore the application effect of the joint management mode of hazard vulnerability analysis(HVA)and failure mode and effect analysis(FMEA)in the management of hazardous chemicals in the pathology department.Methods HVA and FMEA were used to analyze the risks in the management of hazardous chemicals in the pathology department and to calculate RISK and RPN before and after the implementation of the mode.Results Under HVA mode,the risk value determined the three leakage risk factors,including poor tightness of plastic pot,falling off of xylene label and confusion with anhydrous alcohol.The improvement measures were put forward based on the failure mode.The RISK and RPN of the three risk factors were lower after implementation of the management mode(p<0.05).Conclusion The joint management mode of HVA and FMEA can effectively control the risk of hazardous chemicals leakage in pathology department.