失效模式与效应分析联合多重耐药菌主动筛查在神经内科ICU医院感染防控中的应用OA

Objective To explore the application effectiveness of failure mode and effect analysis(FMEA)combined with multidrug-resistant organism(MDRO)active screening in healthcare-associated infection(HAI)control in the neurology intensive care unit(ICU).Methods Combined with the actual clinical situation of neurology ICU,risk priority events were identified by FMEA risk assessment method,and continuous improvement measures were formulated.Combined with MDRO active screening,effectiveness of HAI prevention and control before and after the implementation of FMEA risk assessment as well as before and after combining active screening was compared.Results After the implementation of the FMEA risk assessment,hand hygiene compliance rate increased from 68.78%to 85.02%,detection rate of MDRO decreased from 39.47%to 25.51%,both with statistically significant difference(both P<0.001).The case incidence of HAI,incidence of ventilator-associated pneumonia,and case incidence of MDRO HAI all decreased,but the differences were not statistically significant(all P>0.05).After combining MDRO active screening,MDRO detection rate presented a decreasing trend,with statistically significant differences(P<0.001).Conclusion The combination of FMEA risk assessment and MDRO active screening can effectively reduce the case incidence of HAI and case incidence of MDRO HAI in the neurology ICU.