医疗失效模式与效应分析在基层医院综合病区输液安全管理中的应用  

Application of healthcare failure model and effect analysis in primany hospital comprehensive ward transfusion safety management

作　　者：余洁芳 冼日凤[2] 

机构地区：[1]广西玉林市北流市中医院,537400 [2]广西玉林市第一人民医院

出　　处：《护理实践与研究》2012年第24期83-85,共3页Nursing Practice and Research

摘　　要：目的:探索医疗失效模式与效应分析(HFMEA)在基层医院综合病房静脉输液安全管理中的应用,以提高病人用药安全性。方法:利用HFMEA模式评估我院综合病房静脉输液流程,对存在或潜在的安全隐患进行分析,整合出前瞻性的改进措施。结果:通过对综合病房静脉输液流程分析,发现有6个失效模式需要加强改善,在应用HFMEA模式对综合病房静脉输液各个关键流程加强安全管理后,输液不良事件的发生率较前明显下降(P<0.05)。结论:运用HFMEA对综合病房静脉输液各环节中存在或潜在的安全隐患分析,采取预见性的安全措施干预,取得明显的效果。Objective：To explore the application of health care failure model and effect analysis（HFMEA） in intravenous infusion safety management in primany hospital general wards,improve medication safety of patients.Methods：We evaluated intravenous infusion process in general wards of our hospital,analyzed its existing or potential safety hazard,and integrated prospective innovative approach.Results：Through analyzing intravenous infusion process in general wards,we found six failure models should be improved.After strengthening safety management of every key process in intravenous infusion with HFMEA,compared with the previous,transfusion adverse event rate was significantly decreased（P0.05）.Conclusion：With the HFMEA on comprehensive ward intravenous infusion in each link of existing or potential safety hazard analysis,took predicted safety measures,obtain apparent effect.

关 键 词：医疗失效模式 效应分析 静脉输液 安全管理 

分 类 号：R47[医药卫生—护理学]