失效模式与效应分析在床边监护仪报警管理的应用  

Application of Failure Mode and Effects Analysis in management of bedside monitor alarms

作　　者：尹琴[1] 曹程秀[1] 李琼颖[1] 毛洁敏[1] 刘小青[1] 

机构地区：[1]上海市普陀区人民医院护理部,上海200060

出　　处：《护理学杂志》2015年第10期6-8,共3页

摘　　要：目的降低床边监护仪使用过程中的潜在风险,提高护理质量,确保患者安全。方法对5个监护病区60张床位的床边监护仪报警管理,运用失效模式与效应分析(FMEA)对使用流程进行分析,查找每个环节中可能存在的风险,针对操作流程、规范培训、质量监管等关键环节实施改进措施。结果实施FMEA管理后,床边监护仪报警管理质量检查结果、护士监护仪使用相关知识掌握评分与实施前比较,差异有统计学意义(均P<0.01)。结论对床边监护仪报警运用FMEA管理,能降低床边监护仪不报警的风险,保障患者安全。Objective To reduce the potential risks of bedside monitoring, to enhance quality of nursing care, and to ensure patient safety. Methods We conducted management process for bedside monitor alarms in 5 critical care units and used the Failure Mode and Effects Analysis （FMEA） to examine potential failures in the process. Then actions leading to improvement were identified to standardize use of the monitors, nurse training, and quality supervision. Results There were significant differences in management quality of bedside monitor alarm and in nurses＇ knowledge about use of the monitors after the intervention （P〈O. 01 for all）. Con- clusion Using FMEA to evaluate process of bedside monitor alarm, can reduce potential failure risks and ensure patient safety.

关 键 词：床边监护仪 报警 风险管理 失效模式与效应分析 患者安全 

分 类 号：R47[医药卫生—护理学] R197.324[医药卫生—临床医学]