评价失效模式的应用对ICU患者呼吸机相关肺炎的防控效果

Evaluation of the effect of failure mode on the prevention and control of ventilator-associated pneumonia in ICU patients

目的评价失效模式的应用对某医院重症监护病房(ICU)呼吸机相关性肺炎的防控效果。方法通过失效模式的应用和临床病例监测方法,评价失效模式用于控制该医院ICU住院患者呼吸机相关肺炎(VAP)的效果。结果通过实施失效模式管理后,该医院ICU物体表面清洁消毒不合格等6项VAP风险因素均由高水平降为中水平或低水平。干预组呼吸机使用率升高,VAP发病率显著下降,与未干预组比较差异有统计学意义(P <0. 05)。结论失效模式应用于VAP感染风险的管理,对高危因素制定并实施相应的控制措施,可有效控制ICU的VAP感染率。

Objective To evaluate the effect of failure mode on the prevention and control of ventilator-associated pneumonia in a hospital intensive care unit(ICU).Methods Through the application of failure mode and clinical case monitoring methods,the effect of failure mode on controlling ventilator-associated pneumonia(VAP)in hospital ICU inpatientswas evaluated.Results After the implementation of FMEA,the risk factors of 6 VAPs such as unqualified surface cleaning and disinfection of ICU of the hospital were reduced from high level to medium or low level.The usage rate of ventilator the intervention group increased and the incidence of VAP decreased significantly.There was a statistically significant difference between the two groups(P<0.05).Conclusions The failure mode is applied to the management of VAP infection risk and the development and implementation of corresponding control measures for high-risk factors both would effectively control the VAP infection rate of ICU.