应用FMEA分析经尿道前列腺电切术后出血的危险因素  

Risk Factors of Bleeding after Transurethral Resection of Prostate with the Application of FMEA

作　　者：苏美霞[1] 

机构地区：[1]广州医学院第二附属医院泌尿外科,广东广州510260

出　　处：《护理学报》2011年第7期44-46,共3页Journal of Nursing（China）

摘　　要：目的应用失效模式与效应分析模式(failure mode and effect analysis,FMEA)分析经尿道前列腺电切术后出血的危险因素。方法成立FMEA小组,对2009年1—12月行经尿道前列腺电切术的158例男性患者进行术后出血的失效模式分析,绘制流程图,找出5个潜在失效模式,对流程进行分析探讨,计算危机值,制定改进措施,比较实施前后危机值即出血的危险性。结果 5个失效模式实施FMEA管理后危机值均较实施前显著降低。结论应用FMEA分析经尿道前列腺电切术后出血的危险因素,采取针对性改进措施后5个导致术后出血风险都有不同程度的下降,揭示FMEA在前列腺电切术后出血护理质量持续改进过程中的重要性。Objective To analyze risk factors of bleeding after transurethral resection of prostate with the application of failure mode and effect analysis（FMEA）.Methods A panel of FEMA was established to conduct failure mode analysis among 158 patients with transurethral resection of prostate,including drawing flowchart to find five potential failure modes and discussing the flow to calculate risk priority numbers,to establish improvement measures and to compare risk factors of bleeding.Results Risk priority numbers of five failure modes decreased obviously after the application of FMEA.Conclusion After the application of FMEA,corresponding measures are adopted thus bleeding risk decreases in the operation,which indicates that FMEA plays a significant role in the process of quality continuous improvement.

关 键 词：失效模式与效应分析 前列腺电切术 出血 护理 

分 类 号：R473.6[医药卫生—护理学] C931.3[医药卫生—临床医学]