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失效模式与效应分析模式下风险管理预防肝胆手术部位感染的研究

Study on failure mode and effect analysis risk management in the prevention of surgical site infection of patients with hepatobiliary surgery
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摘要 目的探讨基于失效模式与效应分析模式的风险管理对肝胆手术部位感染的预防效果。方法回顾性分析浙江省人民医院2017年7月至2018年6月肝胆手术150例患者实施基于失效模式与效应分析模式的风险管理的临床资料并纳入观察组,另抽取2016年7月至2017年6月肝胆手术150例患者实施常规护理干预的临床资料纳入对照组,比较两组患者肝胆手术部位感染发生率,并分析两组患者肝胆手术部位感染关键流程风险系数的变化。结果与对照组比较,观察组患者肝胆手术部位感染率较低,差异有统计学意义(P<0.05);与对照组比较,观察组患者肝胆手术部位感染关键流程风险系数(RPN)值均较低,差异有统计学意义(P<0.05)。结论实施基于失效模式与效应分析模式的风险管理,能有效预防肝胆手术部位感染的发生。 Objective To understand the effects of failure mode and effect analysis(FMEA)risk management in the prevention of surgical site infection of patients with hepatobiliary surgery.Methods The clinical data of 150 patients with hepatobiliary surgery received FMEA risk management in Zhejiang people′s hospital from July 2017 to June 2018 were retrospectively analyzed and included in the observation group.And the clinical data of 150 patients with hepatobiliary surgery received routine nursing intervention from July 2016 to June 2017 were included in the control group.The incidence of surgical site infection in the two groups were compared.The changes of risk priority number(RPN)of hepatobiliary surgical site infection in the two groups were analyzed.Results The clinical data of 150 patients with hepatobiliary surgery who received FMEA risk management in Zhejiang People′s Hospital from July 2017 to June 2018 were retrospectively analyzed and included in the observation group.Meanwhile,150 patients with hepatobiliary surgery who received routine nursing intervention were included in the control group.The incidence of surgical site infection was recorded and compared.The changes of risk priority number(RPN)of hepatobiliary surgical site infection in the two groups were analyzed.Results Compared with the control group,both the incidence and the RPN value of hepatobiliary surgical site infection in the observation group were significantly lower(P<0.05).Conclusions FMEA risk management can effectively prevent the surgical site infection of patients with hepatobiliary surgery.
作者 袁琳琳 喻晓芬 江瑾 YUAN Lin-lin;YU Xiao-fen;JIANG Jin(Department of Operation,Zhejiang People′s Hospital,Hangzhou,Zhejiang 310004,China)
出处 《中国预防医学杂志》 CAS CSCD 2019年第5期414-417,共4页 China Preventive Medicine
基金 浙江省公益性技术应用研究计划项目(2015C33153).
关键词 失效模式与效应分析模式 风险管理 预防 肝胆手术 手术部位感染 Failure mode and effect analysis Risk management Prevention Hepatobiliary surgery Surgical site infection
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