Abstract:

Objective

To identifies the primary factors contributing to the low compliance of cleaning personnel with standard precautions， and devises corresponding intervention measures to enhance compliance by applying failure mode and effects analysis （FMEA） theory.

Methods

An FMEA project team was assembled to systematically analyze the compliance status of cleaning staff with standard precautions. The team established scoring criteria and calculated the risk priority number （RPN） to identify high-risk factors. Based on the principle of prioritizing high-risk interventions， the standard precaution processes were redesigned and optimized， with targeted interventions proposed.

Results

The FMEA intervention significantly improved the compliance of cleaning personnel with standard preventive measures.Compliance scores for handwashing and disinfection timing， proper glove wearing， appropriate use of personal protective equipment， environmental management， and handling of occupational exposure all showed significant increases （P＜0.001）. The implemented improvement measures effectively reduced the RPN， leading to a decline in the infection rate in the hospital ICU from 12.53% to 1.88% （P＜0.001）.

Conclusion

The introduction of the FMEA model to improve compliance with standard precautions among cleaning staff is innovative and provides valuable insights for intervention effectiveness， with important practical significance and potential for broader application.

Key words: Failure mode and effects snalysis, Standard precautions, Compliance, Cleaning personnel, Hospital infection control