血液透析器不良事件故障树模型的建立  

Establishment of Fault Tree Model of Dialyzer Adverse Events

作　　者：谢培杰[1] 张斌[2] 张飞鸿[1] 盛晓华[1] 赵丽萍[1] 计雁飞[2] 

机构地区：[1]上海交通大学附属第六人民医院血液净化中心,上海200233 [2]第二军医大学上海长征医院血液净化中心,上海200003

出　　处：《医疗卫生装备》2013年第3期7-10,共4页Chinese Medical Equipment Journal

基　　金：上海理工大学;上海医疗器械职教集团2012年医学工程学与医学装备管理课题资助项目(SZJ12003Y)

摘　　要：目的:建立血液透析器不良事件故障树模型,从而为血液透析器这类高值耗材不良事件的可追溯性分析提供理论指导与参考。方法:收集上海市2家三级甲等医院血液透析室2012年6月至8月血液透析器使用情况数据,并结合相关理论知识与实际经验,应用故障树分析(FTA)法进行血液透析器的风险分析。结果:故障树模型能较全面地描述各类透析器的不良事件。结论:建立血液透析器不良事件故障树模型,能为开展血液透析器不良事件的可追溯性质量控制提供参考依据,提高了管理效率,促进风险管理活动的展开。Objective To establish the fault tree model of dialyzer adverse events in order to provide a theoretical guide and reference for traceability analysis of adverse events in high-value consumables such as dialyzers.Methods Fault Tree Analysis（FTA） method was used in risk analysis of dialyzers through collecting adverse events occurring in two hospitals＇ blood purification departments in Shanghai from June 2012 to August 2012,with theoretical knowledge and practical experience combined.Results The various types of dialyzers adverse events could be described comprehensively by the fault tree model.Conclusion The establishment of dialyzer adverse events analysis model can provide a reference for the traceability of quality control,also can improve management efficiency and promote the commencement of the risk management activities.

关 键 词：血液透析器 不良事件 故障树分析法 

分 类 号：R318.6[医药卫生—生物医学工程]