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目的应用失效模式与效应分析方法观察改进消化内镜清洗消毒流程的效果。方法通过失效模式与效应分析方法,对改进消化内镜清洗消毒处理流程的效果进行评估。结果发现消化内镜处理流程存在清洗不彻底、清洗流程不正确、器械处理不及时等高风险失效模式。经采取针对性的改进措施后,胃镜内腔消毒合格率由改进前的91.7%提高到100%;肠镜内腔消毒合格率由改进前的85.4%提高到98.9%。结论应用失效模式与效应分析方法,能发现问题,提出改进措施,取得显著效果。
Objective To observe the effect of improving digestive endoscope cleaning and disinfection process by applying failure mode and effect analysis method. Methods Through the failure mode and effect analysis method, the effect of improving the digestive endoscope cleaning and disinfection process was evaluated. The results showed that the digestive endoscopy process is not thoroughly cleaned, the cleaning process is not correct, equipment failure to deal with high-risk failure modes. After taking targeted improvement measures, endoscope disinfection qualified rate increased from 91.7% before the improvement to 100%; colonoscopy cavity disinfection pass rate increased from 85.4% before improvement to 98.9%. Conclusion The application of failure modes and effect analysis methods can find problems, propose improvement measures and achieve remarkable results.