Application of healthcare failure mode and effects analysis system in risk control of anti-Ebola for healthcare workers of Chinese Medical Team in Sierra Leone

Abstract

Objective To investigate the application effects of the healthcare failure mode and effects analysis (HFMEA) system on reducing infection risks of EVD for healthcare workers (from Suzhou) in Chinese Medical Team in Sierra Leone. Methods Based on the requirement to use HFMEA system, the EVD exposure risks management team was set up to analyze the failure mode and causes of potential risks of EVD exposure, to calculate the Risk Priority Number (RPN), and to take measures to solve priority issues. Results After administration of HFMEA, number of healthcare workers qualified for hand hygiene compliance, personal protective equipment (PPE) donning and doffing, and epidemiological knowledge mastery was higher, compared to the number before HFMEA administration (χ2=39.30, 47.70; P<0.01). During the two months in Sierra Leone and the 21-day medical observation period, none was infected with EVD. Positive assessment was given by 87.0% of the healthcare workers. Conclusions Usage of HFMEA to evaluate RPN risks for healthcare workers in Chinese Medical Team, focuses on infection control management, revision and improvement of work processes and contingency plans, and assists team members to adapt to new circumstance, which can reduce the risks of EVD exposure for healthcare workers of Chinese Medical Team. Key words: Ebola virus disease; Healthcare failure mode and effects analysis; Risk management; Chinese Medical Team