Scientific Research
Application of failure mode and effect analysis in surgical site infection at department of general surgery
Chen Zhijin, Wang Xiaotian, Liu Lanxia, Li Guihong, Huang Fang
Published 2018-12-15
Cite as IMHGN, 2018,24(24): 3746-3748. DOI: 10.3760/cma.j.issn.1007-1245.2018.24.010
Abstract
ObjectiveTo develop a risk-based quality management plan for general surgery department applying failure mode and effect analysis (FMEA) tools.
MethodsThe surgical procedures of 850 surgical patients at general surgery department in 2016 were reviewed to determine the potential failure modes. The failure modes’ severity, incidence, and detectability were scored; the risk priority number was calculated; and the countermeasures were proposed.
ResultsThe high-priority failure modes were all significantly reduced; and the RPN for medical device sterilization failure was declined by 82.86% after implementing corrective measures. In 2017, the surgical site infection at general surgery department also decreased from 0.94% (8/850) in 2016 to 0.11% (1/894), with a statistical difference (χ2=4.33, P<0.05).
ConclusionFMEA technology can quantify the hidden risks of SSI in a forward-looking manner, standardize risk management, and effectively prevent and control the SSI at general surgery department, so as to reduce the occurrence of SSI.
Key words:
Failure mode and effect analysis; General surgery department; Surgical site infection
Contributor Information
Chen Zhijin
Department of Hospital Infection-Control, Houjie Hospital, Guangdong Medical University, Dongguan 523945, China
Wang Xiaotian
Department of Hospital Infection-Control, Houjie Hospital, Guangdong Medical University, Dongguan 523945, China
Liu Lanxia
Hemodialysis Center, Houjie Hospital, Guangdong Medical University, Dongguan 523945, China
Li Guihong
Department of Gynecology, Houjie Hospital, Guangdong Medical University, Dongguan 523945, China
Huang Fang
Department of Hospital Infection-Control, Houjie Hospital, Guangdong Medical University, Dongguan 523945, China
