医疗失效模式与效应分析法在医院信息系统下住院患者静脉输液给药中的应用  

Application of health failure mode and effects analysis in reducing the errors in intravenous infusion of inpatients in HIS system

作　　者：苏全志[1] 崔立敏[2] 李秀芝[3] 于兰贞[4] 

机构地区：[1]滨州市人民医院护理部,256600 [2]滨州市人民医院手足外科,256600 [3]滨州市人民医院心胸外科,256600 [4]青岛大学医学院附属医院临床技能继续教育培训中心,266003

出　　处：《中华现代护理杂志》2012年第28期3352-3355,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨应用医疗失效模式与效应分析（HFMEA）方法降低医院信息系统（ms）下住院患者静脉输液给药错误发生风险的效果。方法运用HFMEA方法评估HIS下住院患者静脉输液流程，进行失效模式及潜在风险因素分析，计算事先风险指数（RPN）值，制定并实施有效防范措施。结果措施实施后，用药错误发生率从5．13‰下降到1．69％o，实施前后比较差异有统计学意义（x2=208．50，P〈0．01）。结论HFMEA方法的应用有效减少了HIS下住院患者静脉输液错误事件的发生，全面保障了住院患者的临床用药安全。Objective To look into effect of health failure mode and effects analysis in reducing the risk of errors in intravenous infusion of inpatients in HIS system. Methods HFMEA was used to assess the procedure of intravenous infusion of inpatients in HIS system, in order to analyze the failure mode and the causes of potential risks. Risk priority number （RPN） was calculated and effective precautionary measures were formulated and implemented. Results After the intervention, the incidence rate of errors in medication had been reduced from 5.13‰ to 1.69‰, and the difference was statistically significant （x2 = 208.50 ,P 〈 0.01 ）. Conclusions HFMEA is effective in reducing the events of errors in intravenous infusion of inpatients in HIS system, so as to guarantee the safety of the clinical medication of inpatients.

关 键 词：住院患者 医疗失效模式与效应分析 医院信息系统 静脉输液给药 用药错误 

分 类 号：R47[医药卫生—护理学]