Hui Sun, Yan Liu, Ling Wang, Xiaoling Liu, WenHui Wang
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Control groups followed standard operating procedures for sputum specimen collection. In the experimental group, HFMEA model was used to control the quality on this basis. After 3 months of intervention, the qualified rate and positive detection rate of sputum samples were compared between the two groups.<br/><strong>Results:</strong> A total of 634 sputum specimens were included in the experimental group and 647 in the control group. Compared with the control group, the qualification rate of sputum specimens was higher in the experimental group (84.54% vs 79.13%); the positive detection rates of the X-Pert assay (27.88% vs 16.19%), sputum culture (20.29% vs 12.68%), and sputum smear (22.29% vs 15.81%) were all higher in the experimental group (all <em>P</em> < 0.05). Patients in the experimental group had higher knowledge mastery and nurse sputum sample management scores (<em>P < 0.05</em>). However, patient satisfaction with sputum specimen management in the experimental group was lower than in the control group (7.72 ± 0.74 vs 8.38 ± 0.85, <em>P < 0.001</em>).<br/><strong>Conclusion:</strong> The application of the HFMEA model in sputum specimen management can effectively improve specimen quality and positive detection rates.<br/><br/><strong>Keywords:</strong> healthcare failure mode and effect analysis (HFMEA), tuberculosis, sputum, nursing care, risk management<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect Analysis of the HFMEA Model Applied in Sputum Specimen Management Among Patients with Tuberculosis\",\"authors\":\"Hui Sun, Yan Liu, Ling Wang, Xiaoling Liu, WenHui Wang\",\"doi\":\"10.2147/jmdh.s462929\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<strong>Objective:</strong> Accurate diagnosis is very important to block the transmission of tuberculosis. The quality of sputum culture affects the diagnostic accuracy. The quality of sputum samples is not optimistic. Therefore, this study investigated whether health care failure mode and effect analysis (HFMEA) can improve specimen quality and detection efficiency in sputum specimen management in tuberculosis departments.<br/><strong>Methods:</strong> This study is a non-randomized controlled trial study. A convenience sampling method was used to select 110 patients who visited the Department of Tuberculosis of the Second Hospital of Nanjing from September to November 2022 and December 2022 to February 2023 as the control group and the experimental group. Control groups followed standard operating procedures for sputum specimen collection. In the experimental group, HFMEA model was used to control the quality on this basis. After 3 months of intervention, the qualified rate and positive detection rate of sputum samples were compared between the two groups.<br/><strong>Results:</strong> A total of 634 sputum specimens were included in the experimental group and 647 in the control group. Compared with the control group, the qualification rate of sputum specimens was higher in the experimental group (84.54% vs 79.13%); the positive detection rates of the X-Pert assay (27.88% vs 16.19%), sputum culture (20.29% vs 12.68%), and sputum smear (22.29% vs 15.81%) were all higher in the experimental group (all <em>P</em> < 0.05). Patients in the experimental group had higher knowledge mastery and nurse sputum sample management scores (<em>P < 0.05</em>). However, patient satisfaction with sputum specimen management in the experimental group was lower than in the control group (7.72 ± 0.74 vs 8.38 ± 0.85, <em>P < 0.001</em>).<br/><strong>Conclusion:</strong> The application of the HFMEA model in sputum specimen management can effectively improve specimen quality and positive detection rates.<br/><br/><strong>Keywords:</strong> healthcare failure mode and effect analysis (HFMEA), tuberculosis, sputum, nursing care, risk management<br/>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/jmdh.s462929\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/jmdh.s462929","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的：准确的诊断对于阻止结核病的传播非常重要。痰培养的质量影响诊断的准确性。痰标本的质量不容乐观。因此，本研究探讨了医疗失效模式与效应分析（HFMEA）能否提高结核病科痰标本管理中的标本质量和检测效率：本研究为非随机对照试验研究。方法：本研究为非随机对照试验研究，采用方便抽样法，选取2022年9月至11月、2022年12月至2023年2月在南京市第二医院结核科就诊的110名患者作为对照组和实验组。对照组按照标准操作程序采集痰标本。实验组在此基础上采用HFMEA模型进行质量控制。干预 3 个月后，比较两组痰标本的合格率和阳性检出率：结果：实验组共纳入 634 份痰标本，对照组共纳入 647 份痰标本。与对照组相比，实验组的痰标本合格率更高（84.54% vs 79.13%）；实验组的 X-Pert 检测阳性检出率（27.88% vs 16.19%）、痰培养阳性检出率（20.29% vs 12.68%）和痰涂片阳性检出率（22.29% vs 15.81%）均高于对照组（均为 P <0.05）。实验组患者的痰液样本管理知识掌握程度和护士痰液样本管理得分更高（P <0.05）。然而，实验组患者对痰标本管理的满意度低于对照组（7.72 ± 0.74 vs 8.38 ± 0.85，P <0.001）：关键词：医疗失效模式与效应分析（HFMEA）；肺结核；痰液；护理；风险管理
Effect Analysis of the HFMEA Model Applied in Sputum Specimen Management Among Patients with Tuberculosis
Objective: Accurate diagnosis is very important to block the transmission of tuberculosis. The quality of sputum culture affects the diagnostic accuracy. The quality of sputum samples is not optimistic. Therefore, this study investigated whether health care failure mode and effect analysis (HFMEA) can improve specimen quality and detection efficiency in sputum specimen management in tuberculosis departments. Methods: This study is a non-randomized controlled trial study. A convenience sampling method was used to select 110 patients who visited the Department of Tuberculosis of the Second Hospital of Nanjing from September to November 2022 and December 2022 to February 2023 as the control group and the experimental group. Control groups followed standard operating procedures for sputum specimen collection. In the experimental group, HFMEA model was used to control the quality on this basis. After 3 months of intervention, the qualified rate and positive detection rate of sputum samples were compared between the two groups. Results: A total of 634 sputum specimens were included in the experimental group and 647 in the control group. Compared with the control group, the qualification rate of sputum specimens was higher in the experimental group (84.54% vs 79.13%); the positive detection rates of the X-Pert assay (27.88% vs 16.19%), sputum culture (20.29% vs 12.68%), and sputum smear (22.29% vs 15.81%) were all higher in the experimental group (all P < 0.05). Patients in the experimental group had higher knowledge mastery and nurse sputum sample management scores (P < 0.05). However, patient satisfaction with sputum specimen management in the experimental group was lower than in the control group (7.72 ± 0.74 vs 8.38 ± 0.85, P < 0.001). Conclusion: The application of the HFMEA model in sputum specimen management can effectively improve specimen quality and positive detection rates.
Keywords: healthcare failure mode and effect analysis (HFMEA), tuberculosis, sputum, nursing care, risk management
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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