医疗失效模式与效应分析用于降低术后患者早期下床活动流程执行的缺陷率  

Application of the healthcare failure mode and effect analysis system in reducing the defect rate of early ambulation process for postoperative patients

作　　者：丁滢[1] 陈新华[1] 何杏春 窦继云[1] 王萍[1] 

机构地区：[1]东南大学附属第二医院外科,江苏南京210003

出　　处：《实用临床医药杂志》2015年第22期70-72,共3页Journal of Clinical Medicine in Practice

摘　　要：目的 降低术后患者早期下床活动流程的执行缺陷率,减少术后并发症,缩短住院时间。方法 根据医疗失效模式与效应分析（HFMEA）的方法,成立外科下床动流程改进小组,对腹部术后患者下床活动流程执行缺陷情况进行失效模式及潜在风险原因分析,计算优先风险指数（RPN）;对需优先解决的问题进行措施改进。结果 实施HFMEA管理后护理评估不到位,疼痛护理欠规范显著低于管理前（P〈0.05）,83.33%-100%外科护士对实施HFMEA管理持肯定态度。结论 运用HFMEA评估及改进流程,可以有效降低患者下床活动的风险,减少术后并发症的发生。Objective To reduce the defect rate of early ambulation process for postoperative patients and postoperative complications, and to shorten hospital stay. Methods Based on the requirement of healthcare failure mode and effect analysis （HFMEA） system, the early ambulation process team was set up to determine the defect rate of patients with early ambulation process, the failure mode and the causes of potential risks were analyze, and the risk priority number （RPN） was calculated. In this study, some improvement measures were carried out. Results After application of HFMEA system, the rates of low nursing assessment and non - standard pain nursing were lower than that before HEMEA application （ P 〈 0.05 ）. Positive assessment was given by 83.33 % - 100 % surgery nurses for HFMEA management. Conclusion HFMEA to evaluate and improve the early ambulation process can reduce the risk of early ambulation and postoperative complications for postoperative patients.

关 键 词：术后患者 医疗失效模式与效应分析 下床活动 护理安全 

分 类 号：R473.6[医药卫生—护理学]