应用FMEA降低神经外科俯卧位手术压疮发生率的研究  

Application of FMEA to Reduce Incidence of Pressure Sores in Neurosurgery Prone Position Surgery

作　　者：谢美英[1] 蔡云霞[1] 张小英[1] 

机构地区：[1]江西省赣州市人民医院手术室,江西赣州341000

出　　处：《赣南医学院学报》2017年第2期291-293,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:分析神经外科俯卧位手术压疮发生的潜在失效原因,运用FMEA质量改进方法,加强落实各项预防措施,降低压疮的发生率,提高患者生活质量,降低医疗纠纷,使手术室护理工作质量得到持续改进。方法:选择2014年1~12月神经外科俯卧位手术患者40例为对照组,按常规护理方法进行。2015年1月~2016年3月神经外科俯卧位手术患者45例为观察组,进行FMEA。通过运用FMEA工具前后的对比,观察两组的医疗风险危机值、护士工作满意度及患者满意度。结果:医疗风险危机值由对照组的970.56降至实验组的129.06,神经外科俯卧位手术压疮发生率由12.5%降至0,护士工作满意度由73.5%提升至94.4%,患者满意度由94.2%提升至99.1%。结论:运用FMEA工具能显著降低神经外科俯卧位手术压疮的发生率,保障手术患者安全。Objective： To analyze the potential failure causes of pressure sores in neurosurgery prone position surgery; to use FMEA quality improvement methods to strengthen the implementation of the preventive measures, to reduce pressure sore incidence, to improve the quality of patients＇life, to reduce medical disputes and to continuously improve the quality of nursing in operation room. Methods ：40 cases of patients with prone position in Department of neurosurgery from Janu- ary to December, 2014 were selected as the control group, treated with the routine nursing methods. 45 eases of patients with prone position in Department of neurosurgery from January, 2015 to March, 2016 iwere selected as the observation group, treated with FMEA. The medical risk crisis, nurses＇job satisfaction and patient satisfaction of the two groups were compared. Results ： After using the FMEA tool, the risk of medical crisis declined from 970.56 in the control group to a- bout 129.06 in the experimental group, The incidence of pressure sores in neurosurgery prone position surgery decreased from 12.5% to 0 ; nurses work satisfaction increased from 73.5% to 94.4% ; patient satisfaction increased from 94.2% to 99.1%. Conclusion：The use of FMEA tools can significantly lower the incidence of pressure sores in neurosurgery prone position surgery and ensure the safety of surgical patients.

关 键 词：FMEA 降低 神经外科 俯卧位 压疮 

分 类 号：R473.6[医药卫生—护理学]