医疗失效模式与效应分析模式结合环节质量强化管理对硬式内镜器械集中处理的应用价值

Value of healthcare failure mode and effect analysis mode combined with enhanced management of link quality in centralized processing of rigid endoscopic instruments

    摘要
  • 摘要:
    目的 探讨医疗失效模式与效应分析(HFMEA)模式下结合环节质量强化管理对硬式内镜器械集中处理的应用价值。
    方法 选取2022年1月-2022年12月解放军总医院第一医学中心耳鼻喉科内镜室实施常规管理回收的硬式内镜器械80件为对照组, 另选取2023年1月-2023年12月实施HFMEA模式下结合环节质量强化管理回收的硬式内镜器械70件为试验组, 对比两组器械的管理效果、器械合格率, 对比不同干预模式下工作人员的满意度。
    结果 试验组器械拆装、清洗流程、清洗质量、环境管理以及包装质量评分更高(P＜0.05)。试验组器械不合格率10.00%, 低于对照组23.75%(χ2=4.926, P=0.026)。试验组工作人员的工作满意度91.67%高于对照组66.67%(Z=2.026, P=0.043)。
    结论 针对硬式内镜器械集中处理, 实施HFMEA模式下结合环节质量强化管理, 能够有效改善器械的管理效果、降低器械回收不合格率, 对提高工作人员对器械回收流程的满意度具有积极作用。

     

    Abstract:
    OBJECTIVE To explore the value of healthcare failure mode and effect analysis mode (HFMEA) combined with enhanced management of link quality in centralized processing of rigid endoscopic instruments.
    METHODS Totally 80 pieces of rigid endoscopic instruments that were recycled by the endoscopy room of otolaryngology department of The First Medical Center of PLA General Hospital from Jan. 2022 to Dec. 2022 were assigned as the control group, and 70 pieces of rigid endoscopic instruments that were recycled under the HFMEA model combined with enhanced management of link quality from Jan. 2023 to Dec. 2023 were assigned as the experimental group. The effect of the management and the qualified rate of instruments were compared between the two groups of instruments, compare the satisfaction under the different intervention modes.
    RESULTS The scores of instrument disassembly and assembly, cleaning procedures, cleaning quality, environmental management and packaging quality were higher in the experimental group than in the control group (P < 0.05). The unqualified rate of instruments of the experimental group was 10.00%, lower than 23.75% of the control group(χ2=4.926, P=0.026). The staff′s satisfaction with the work of the experimental group was 91.67%, higher than 66.67% of the control group(Z=2.026, P=0.043).
    CONCLUSION For the centralized management of rigid endoscopic instruments, the implementation of the enhanced management of link quality under the HFMEA mode can effectively improve the effect of management of the instruments and reduce the unqualified rate of recycled instruments, demonstrating a positive effect on raising the staff′s satisfaction with the recycle process of instruments.

     

    • HTML全文
    • 参考文献(24)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回
下载中心