医疗失效模式与效应分析在医院口服给药安全管理中的应用  

Application of Health Care Failure Mode and Effect Analysis in the construction and evaluation of Hospital Oral Administration Security System

作　　者：蒋红[1] 黄莺[1] 王桂娥[1] 任学芳[1] 潘小华[1] 翟建霞[1] 曹艳佩[1] 汪志明[1] 钟明康[1] 王斌 

机构地区：[1]复旦大学附属华山医院护理部,上海市200040

出　　处：《中华护理杂志》2010年第5期394-396,共3页Chinese Journal of Nursing

基　　金：上海市医院协会2009年度医院管理研究基金课题(编号:090107)

摘　　要：目的基于系统规范口服给药,确保住院患者的口服给药安全,做到口服药的"三准确",即把正确的药、在正确的时间、发给正确的患者。方法尝试运用医疗失效模式及效应分析的理念,对住院患者口服给药流程进行分析,针对不安全因素不断调整制度、措施,使医院口服给药安全系统不断完善并得到持续改进。结果系统性改进影响口服给药安全的各关键环节后,护士满意度由83%提高至90%;口服给药出错率也由30.5%降为18.4%,提高了口服给药的安全性。结论运用相关理论前瞻性地对住院患者口服给药系统进行全过程分析,结合本院的实际情况制定改建计划并落实,是口服给药安全的保证。Objective To standardize the procedure and ensure the safety of oral administration,and to achieve the ＂threeaccurate＂,that is right medicine,right time,and right patients.Methods The concept of ＂Health Care Failure Mode and Effect analysis＂ was used to analyze the procedure of in-patients＇ oral administration,and adjust the system according to insecurity factors to improve the hospital oral administration system constantly.Results The systematic reconstruction of the oral administration improved nurses＇ and patients＇ satisfaction,reduced the error rate of in-patients＇ oral administration and improved the safety of oral administration.Conclusion The application of＂Health Care Failure Mode and Effect analysis＂ to forward-looking analysis in-patient oral administration system,combined with the actual situation of our hospital to develop and implement plans are the guarantees of oral administration security.

关 键 词：医疗失效模式与效应分析 投药 口服 安全管理 

分 类 号：R47[医药卫生—护理学]