基于FMEA法的剖宫产风险识别与对策研究  

Cesarean Section Risk Identification and Countermeasures Research Based on FMEA Method

作　　者：杜蕾[1] 郭思佳[1] 刘行宇[1] 李洋[1] 柳丽颖[1] 张莹[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12期33-35,共3页Chinese Hospital Management

基　　金：黑龙江省教育厅人文社会科学项目(12532214)

摘　　要：目的帮助医院明确剖宫产手术中的高风险环节及关键流程,切实做好产科安全管理。方法通过FMEA法与文献研究、头脑风暴、问卷调查及专家咨询相结合的方式,对剖宫产诊疗流程中的风险进行识别。结果共识别出剖宫产诊疗流程中10项高风险环节,即产后出血、知情同意效果不佳、会诊不及时、羊水栓塞、切口感染、尿路感染、会诊诊断及治疗错误、术前宣教效果不佳、麻醉失误、检查结果有误。结论 FMEA法是一项有效的医疗风险识别工具,能够前瞻性地检测出剖宫产高风险环节,并有针对性地实施干预。Objective To identify the high risk and key procedure of cesarean section process, to make measure to do obstetrics security management. Methods By combining the FMEA method and literature research, brainstorming, questionnaire and expert consultation method, the identification of cesarean section in the process of medical risk was done. Results 10 high risk links of cesarean section treatment process were identified, namely postpartum hemorrhage, ineffective informed consent, not timely consultation, amniotic fluid embolism, wound infection, uri- nary tract infection, consultation diagnosis and treatment errors, poor preoperative missionary effect, anesthesia errors and incorrect test results. Conclusion FMEA method is an effective medical risk identification tool that can proactively detect high-risk links of cesarean section and implement targeted interventions.

关 键 词：失效模式与效应分析 剖宫产 风险识别 

分 类 号：R197.323[医药卫生—卫生事业管理]