PDF(Pubmed)
Abstract：
OBJECTIVE: To explore the application value of the Failure Mode and Effects Analysis (FMEA) method in the risk management of needlestick injuries among oral healthcare personnel.
METHODS: A total of 37 healthcare workers from the dental department of Zhujiang Hospital, Southern Medical University, were selected as study subjects. Routine risk management procedures were followed from January 2021 to December 2021, serving as the control group, while FMEA-based risk management was implemented from January 2022 to December 2022, representing the research group. The Risk Priority Number (RPN) was calculated, and interventions were implemented for the top five identified failure modes. The RPN score, incidence of needlestick injuries, healthcare personnel\'s knowledge and awareness levels, prevention behavior, and rate of satisfaction with management were compared between the two groups.
RESULTS: FMEA-based risk management identified weak knowledge of protection, disorganized placement of sharp instruments, failure to adhere to operational standards, improper operational procedures, and insufficient regulations for preventing needlestick injuries as the top five failure modes. The RPN scores for these modes were significantly lower in the research group (P<0.05). The research group also experienced a lower frequency and incidence of needlestick injury (P<0.05), along with higher levels of healthcare knowledge, awareness of prevention, and prevention behavior (P<0.05). Additionally, satisfaction with management was higher in the research group compared to the control group (P<0.05).
CONCLUSIONS: FMEA-based risk management can improve the ability of oral healthcare personnel to prevent needlestick injury, reduce the occurrence of such incidents, and enhance satisfaction with management. This approach holds promise for wider adoption.
METHODS: A total of 37 healthcare workers from the dental department of Zhujiang Hospital, Southern Medical University, were selected as study subjects. Routine risk management procedures were followed from January 2021 to December 2021, serving as the control group, while FMEA-based risk management was implemented from January 2022 to December 2022, representing the research group. The Risk Priority Number (RPN) was calculated, and interventions were implemented for the top five identified failure modes. The RPN score, incidence of needlestick injuries, healthcare personnel\'s knowledge and awareness levels, prevention behavior, and rate of satisfaction with management were compared between the two groups.
RESULTS: FMEA-based risk management identified weak knowledge of protection, disorganized placement of sharp instruments, failure to adhere to operational standards, improper operational procedures, and insufficient regulations for preventing needlestick injuries as the top five failure modes. The RPN scores for these modes were significantly lower in the research group (P<0.05). The research group also experienced a lower frequency and incidence of needlestick injury (P<0.05), along with higher levels of healthcare knowledge, awareness of prevention, and prevention behavior (P<0.05). Additionally, satisfaction with management was higher in the research group compared to the control group (P<0.05).
CONCLUSIONS: FMEA-based risk management can improve the ability of oral healthcare personnel to prevent needlestick injury, reduce the occurrence of such incidents, and enhance satisfaction with management. This approach holds promise for wider adoption.
摘要：
目的：探讨失效模式与效应分析(FMEA)方法在口腔医护人员针刺伤风险管理中的应用价值。
方法：珠江医院口腔科37名医护人员，南方医科大学,被选为研究对象。2021年1月至2021年12月遵循常规风险管理程序，作为对照组，而基于FMEA的风险管理在2022年1月至2022年12月实施,代表研究组.计算了风险优先数(RPN)，并对确定的前5种失效模式实施干预措施.RPN分数,针刺伤的发生率，医护人员的知识和意识水平，预防行为,比较两组患者对管理的满意度。
结果：基于FMEA的风险管理发现保护知识薄弱，乱七八糟的放置锋利的仪器，未能遵守操作标准，操作程序不当，和不足以防止针刺伤害的规则作为前五大故障模式。研究组各模式的RPN评分均明显降低(P<0.05)。研究组出现针刺伤的频率和发生率较低(P<0.05),随着更高水平的医疗保健知识，预防意识,预防行为(P<0.05)。此外,研究组对管理的满意度高于对照组(P<0.05)。
结论：基于FMEA的风险管理可以提高口腔医护人员预防针刺伤的能力，减少此类事件的发生，提高管理层满意度。这种方法有望得到更广泛的采用。
方法：珠江医院口腔科37名医护人员，南方医科大学,被选为研究对象。2021年1月至2021年12月遵循常规风险管理程序，作为对照组，而基于FMEA的风险管理在2022年1月至2022年12月实施,代表研究组.计算了风险优先数(RPN)，并对确定的前5种失效模式实施干预措施.RPN分数,针刺伤的发生率，医护人员的知识和意识水平，预防行为,比较两组患者对管理的满意度。
结果：基于FMEA的风险管理发现保护知识薄弱，乱七八糟的放置锋利的仪器，未能遵守操作标准，操作程序不当，和不足以防止针刺伤害的规则作为前五大故障模式。研究组各模式的RPN评分均明显降低(P<0.05)。研究组出现针刺伤的频率和发生率较低(P<0.05),随着更高水平的医疗保健知识，预防意识,预防行为(P<0.05)。此外,研究组对管理的满意度高于对照组(P<0.05)。
结论：基于FMEA的风险管理可以提高口腔医护人员预防针刺伤的能力，减少此类事件的发生，提高管理层满意度。这种方法有望得到更广泛的采用。
