失效模式和效应分析在基础护理质量管理中的应用  

Application of failure mode and effect analysis in quality control of fundamental nursing care

作　　者：李平[1] 刘淑娟[1] 冯凤[1] 包月[1] 许凤秀[1] 张静[1] 

机构地区：[1]山东中医药大学附属医院护理部,山东济南250011

出　　处：《护理学杂志》2013年第15期61-63,共3页

基　　金：山东省中医药科技发展计划项目(2011-055)

摘　　要：目的运用失效模式和效应分析管理,提高病房基础护理的质量,确保患者舒适安全。方法收集各病区在基础护理质量检查中存在的问题,如护理评估不充分、护士操作不规范、护士工作不主动、依赖家属或陪护、护士观察不到位、晨晚间护理未按流程操作等,参照失效模式和效应分析方法进行潜在风险原因分析,寻找可能导致基础护理质量下降的环节及原因,提出改进措施,追踪整改效果。结果实施失效模式和效应分析6个月后,护理评估不充分,护士观察不到位,晨晚间护理未按流程操作等问题明显改善,RPN各项值均比实施前显著降低(P<0.05)。结论应用失效模式和效应分析管理可有效提高基础护理的质量,同时提高护理人员的综合素质,保证护理质量。Objective To improve the quality of fundamental nursing care by appling failure mode and effect analysis, and to ensure patient comfort and safety. Methods We collected the problems found in quality inspection of fundamental nursing care, such as inadequate nursing assessment, unstandardized nursing procedures, nurses lack of initiative and dependence on patients＇ family members or paid care givers, inadequate observation, and unstandardized morning and evening care. Then we analyzed the possible risks of the problems, tracking down the processes which could lead to quality reduction, finding out the causes, putting forward improvement schemes, and tracing the effectiveness of corrective actions. Results After six months, such problems as inadequate nursing assessment, inadequate observation, unstandardized morning and evening care, were rectified, and RPN values of the problems were signicantly lower than before, the implementation （P〈0.05）. Conclusion Application of failure mode and effect analysis could effectively improve the quality of fundamental nursing care, improve the quality of nursing staff, and ensure the quality of nursing care.

关 键 词：失效模式 效应分析 基础护理 质量控制 护理管理 

分 类 号：R47[医药卫生—护理学] C931[医药卫生—临床医学]