医疗失效模式与效应分析管理模式在儿童重症监护室气管插管非计划性拔管中的预防效果  

Prevention effect of HFMEA management model on unplanned endotracheal extu-bation of PICU tracheal intubation children

作　　者：王桂兰[1] 林莉[1] 

机构地区：[1]四川省自贡市第一人民医院儿科,643000

出　　处：《中国全科医学》2017年第A02期278-280,共3页Chinese General Practice

摘　　要：目的探讨医疗失效模式与效应分析(HFMEA)管理模式在儿童重症监护室(PICU)气管插管非计划性拔管(UEX)中的预防效果。方法选取2015年12月—2016年4月于自贡市第一人民医院PICU行气管插管患儿68例作为对照组,另选取本院同期2016年5—9月PICU行气管插管患儿80例作为观察组。对照组患儿采用气管插管常规护理,观察组在对照组基础上采用HFMEA管理模式。比较两组患儿失效模式RPN值和UEX发生情况。结果观察组患儿镇静管理、操作规范性、固定、约束、患儿病情年龄、舒适管理RPN值低于对照组(P<0.05)。观察组患儿UEX发生率低于对照组(P<0.05)。结论 HFMEA管理模式可有效降低PICU气管插管患儿失效模式RPN值及UEX发生率,具有防范于未然的作用。Objective To explore prevention effect of HFMEA management model on unplanned endotracheal extu-bation（ UEX） of PICU tracheal intubation children. Methods A total of 68 cases of PICU tracheal intubation children were selected from December 2015 to April 2016 in Zigong First People’ s Hospital as control group,81 cases of PICU tracheal intubation children were selected from May to September 2016 as observation group. Control group was given tracheal intubation routine care,observation group was given HFMEA management model. The RPN value of failure mode and the incidence of UEX were compared between the two groups. Results The observation group of RPN value of sedation management,standardization of operation,immobilization,restrain,ages and illness of children,comfortable management were lower than control group（ P〈 0. 05）. The UEX rate of the observation group was lower than control group（ P 〈 0. 05）. Conclusion HFMEA management model can effectively reducing RPN value of failure mode and UEX rate of PICU tracheal intubation children,it has preventive measures in the form of prevention.

关 键 词：重症监护病房 儿科 医疗失效模式与效应分析 气管插管 非计划性拔管 预防 

分 类 号：R197.5[医药卫生—卫生事业管理]