医疗失效模式与效应分析在静脉输液流程中的应用  

Application of the Healthcare Failure Mode and Effects Analysis to intravenous infusion process

作　　者：张巧利 李兴革[1,2] 吕小青 吴惠平[1,2] 徐勇 

机构地区：[1]深圳市人民医院龙华分院急诊科 [2]暨南大学医学院第二附属医院,广东深圳518020

出　　处：《护理学杂志》2011年第20期6-8,共3页

摘　　要：目的基于系统规范静脉输液流程,确保急诊输液患者的安全。方法对急诊科护士进行医疗失效模式与效应分析（HFMEA）相关知识的培训,运用医疗失效模式对静脉输液流程影响因素进行危害性分析,拟定实施应对措施,连续6个月后评价效果。结果静脉输液缺陷发生数相对减少,患者满意度显著提高（P〈0.05）,急诊科护士对实施HFMEA管理的肯定率达93.3%-100%。结论静脉输液流程采用医疗失效模式方式管理,有利于提高患者满意率,提高输液安全性。Objective To standardize intravenous infusion process based on system level,and to ensure patient safety in emergency intravenous infusion.Methods We trained emergency nurses in knowledge of Healthcare Failure Mode and Effects Analysis（HFMEA）,analyzed harms of influencing factors of intravenous infusion process by using HFMEA,and then conducted countermeasures for 6 months.Results The defects of intravenous infusion were reduced,patient satisfaction was significantly improved（P0.05）.Nurses′ positive appraisal of implementation of HFMEA reached 93.3% to 100%.Conclusion Intravenous infusion process perfected by using HFMEA can help improve patient satisfaction and infusion safety.

关 键 词：静脉输液 医疗失效模式与效应分析 输液流程 风险控制 急诊 门诊 

分 类 号：R472.9[医药卫生—护理学]