FMEA County Medical Community Infection Prevention and Control Ability Homogenization Management
江苏省医院协会医院管理创新研究重点课题（JSYGY-2-2021-181）；南通市科技计划项目（MSZ20160）
目的：分析FMEA在县域医共体新冠疫情防控中的应用价值。方法：根据FEMA模型，制订工作流程，实施失效因素的分析评测，制定改进措施、同质化管理等步骤后进行分析汇总。结果：通过FMEA在医共体内医疗机构新冠肺炎感染防控能力建设的实施，感染管理部门和专职人员配置达标率100%，手卫生依从性85.63%，手卫生正确率96.79%，穿脱防护用品合格率100%，消毒灭菌合格率100%，环境卫生学监测率100%，现患率调查开展率（二级以上医院）100%，区域化消毒供应中心质量追溯、医疗废物管理和医院感染监测（二级以上公立医院）均实现信息化管理，使用率达100%。结论：FMEA模型显著提升了县域医共体医疗机构新冠肺炎感染防控能力。
Objective：To analyze the application value of failure mode and effect analysis（FMEA）in the prevention and control of COVID-19 in the county medical community. Methods：According to the FEMA model，work flow was formulated，failure factors were analyzed and evaluated，improvement measures and homogeneity management were formulated，and then analyzed and summarized. Results：Through the implementation of FMEA in the construction of COVID-19 infection prevention and control capacity of medical institutions in the medical community，the infection management department and full-time staff allocation reached the standard rate of 100%，the compliance rate of hand hygiene was 83.63%，the correct rate of hand hygiene was 96.79%，the qualified rate of wearing and removing protective equipment was 100%，the qualified rate of disinfection and sterilization was 100%，and the monitoring rate of environmental hygiene was 100%. The investigation rate of current infection rate（secondary hospitals and above）was 100%，and the quality traceability of regional disinfection supply center，medical waste management and nosocomial infection monitoring（secondary public hospitals and above）were all implemented with information management，and the utilization rate reached 100%. Conclusion：The FMEA model significantly improves the ability of prevention and control of COVID-19 infection in the medical institutions of the county medical community.