基于FMEA法的结肠癌根治术风险识别研究  

Risk Identification Research of Radical Operation for Colon Cancer Based on FMEA Method

作　　者：郭思佳[1] 杜蕾[1] 李洋[1] 柳丽颖[1] 张莹[1] 刘行宇[1] 吴国松[1] 赵璐[1] 毛静馥[1] 

机构地区：[1]哈尔滨医科大学公共卫生学院,黑龙江哈尔滨150001

出　　处：《中国医院管理》2014年第9期38-40,共3页Chinese Hospital Management

基　　金：全国医疗卫生行业风险管理研究所科研计划项目(LHYLFXZD201202)

摘　　要：目的探讨结肠癌根治术的高危风险以及引起风险的主要原因,提出有效的干预策略。方法应用失效模式与效应分析法对结肠癌根治术进行风险识别研究。结果分析得出结肠癌根治术共计8项流程、26项失效环节,排在前10位的高危风险分别为:观察患者药物反应失误、设备仪器准备不充分、检查时间过长、术前宣教不佳、麻醉前核对失误、手术时间过长、排药错误、术后注意事项告知有误、护士术后核对失误、手术者术后核对失误。结论 FMEA法可以有效地识别高危风险,据此有针对性地制定措施、采取策略,能够最终从源头上避免风险的发生。Objective To explore the high risks of radical operation for colon cancer as well as the main causes of risks, and to put forward effective intervention strategies. Methods The FMEA method was used to identify the risks of radical operation for colon cancer. Results 8 processes, 26 failure links, 10 high risks of radical operation for colon cancer were drug reaction observed error, inadequate equipment instrument preparation, long checking time, poor preoperative education, anesthesia checking error, long operation time, medicine rowing error, wrong postopera- tive considerations, nurses＇ postoperative checking error and doctors＇ postoperative checking error. Conclusion The FMEA method could identify the high risks effectively; hospital managers can take targeted measures and strategies to avoid the happening of the risks from the source ultimately.

关 键 词：失效模式与效应分析 结肠癌根治术 风险识别 

分 类 号：R735.35[医药卫生—肿瘤]