| 引用本文: | 袁海玲,武琼,王琳,王亚萍,徐锦,甘海燕.基于失效模式与效应分析法的PIVAS医院感染风险管理策略研究[J].中国现代应用药学,2022,39(5):684-689. |
| YUAN Hailing,WU Qiong,WANG Lin,WANG Yaping,XU Jin,GAN Haiyan.Research on Risk Management Strategy of nosocomial infection in PIVAS Based on Failure Mode and Effect Analysis[J].Chin J Mod Appl Pharm(中国现代应用药学),2022,39(5):684-689. |
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| 摘要: |
| 目的 建立医院静脉用药调配中心(pharmacy intravenous admixture services，PIVAS)感染风险监管机制，优化PIVAS医院感染管理策略，有效降低医院感染风险。方法 基于失效模式与效应分析法(failure mode and effect analysis，FMEA)对西安国际医学中心医院PIVAS进行医院感染风险识别及评估，查找出需要采取措施进行控制的重点风险，分析潜在失效模式的失效原因，制订相应的改进措施及改进周期，并对控制效果进行评价。结果 PIVAS医院感染风险管理体系包括建筑布局不合理、人员管理不符合要求、仪器及设备运行失效、操作流程不规范、清洁及消毒效果监测不合格5个方面32个风险点；其中有7个风险点需要采取措施进行控制，实施控制措施后，风险优先指数明显下降，风险得到有效控制。结论 基于FMEA对PIVAS进行医院感染风险识别及评估，建立PIVAS医院感染风险管理机制，可及时发现PIVAS潜在感染风险，降低了PIVAS医院感染相关不良事件发生的概率。 |
| 关键词: 静脉用药调配中心 医院感染 风险评估 失效模式与效应分析 |
| DOI：10.13748/j.cnki.issn1007-7693.2022.05.020 |
| 分类号:R952 |
| 基金项目:西安国际医学中心医院院级课题项目（2020MS011） |
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| Research on Risk Management Strategy of nosocomial infection in PIVAS Based on Failure Mode and Effect Analysis |
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YUAN Hailing, WU Qiong, WANG Lin, WANG Yaping, XU Jin, GAN Haiyan
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Department of Pharmacy, Xi'an International Medical Center Hospital, Xi'an 710100, China
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| Abstract: |
| OBJECTIVE To establish the risk management system of nosocomial infection in pharmacy intravenous admixture service(PIVAS) so as to optimize the management strategy and effectively reduce the risk of nosocomial infection. METHODS The risk of nosocomial infection in PIVAS were identified and evaluated through the failure mode and effect analysis(FMEA) to find the key risks that needed to be controlled. The failure causes of potential failure mode was analyzed, corresponding improvement measures and improvement cycle were formulated, and the control effect was evaluated. RESULTS The risk management system for nosocomial infection in PIVAS included 32 risk points in five aspects:unreasonable building layout, unqualified management of personnel, ineffective operation of instruments and equipment, nonstandard operation process, unqualified cleaning and disinfection effect monitoring. There were 7 key risks that needed to be controlled. The risk priority number decreased significantly and the risk effectively was controled after the targeted interventions were taken. CONCLUSION The risk identify and assessment based on FMEA and the establishment of nosocomial infection risk management system in PIVAS may facilitate the timely discovery of potential risk of nosocomial infection and reduce the probability of adverse events related to nosocomial infection in PIVAS. |
| Key words: pharmacy intravenous admixture services nosocomial infection risk assessment failure mode and effect analysis |
