基于改良型FMEA的某军队医院医疗流程风险管理  

Application of Improved FMEA in Medical Process Risk Management in a Military Hospital

作　　者：于伯洋 伍琳[2] 陆辉 许苹 陈汝雪[5] YU Boyang;WU Lin;LU Hui;XU Pin;CHEN Ruxue(Department of Medical Administration,No.202 Hospital of PLA,Shenyang 110003;Neurosurgery Department,Naval General Hospital of PLA,Beijing 100048;No.202 Hospital of PLA,Shenyang 110003;Department of Health Service Management,Faculty of Health Service,Naval Medical University,Shanghai 200433;Medical Affairs Department,Naval General Hospital of PLA,Beijing 100048)

机构地区：[1]解放军第202医院医务处,沈阳110003 [2]解放军海军总医院神经外科,北京100048 [3]解放军第202医院,沈阳110003 [4]海军军医大学卫生勤务学系卫生事业管理学教研室,上海200433 [5]解放军海军总医院医务部,北京100048

出　　处：《解放军医院管理杂志》2018年第7期639-643,共5页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：国家社科基金重点项目(14AGL020)

摘　　要：目的探究改良型FMEA法在神经外科阶段性医疗流程风险管理中的适用性,为其进一步推广应用提供基础。方法将根原因分析法融入失效模式与效应分析法中形成的改良型FMEA法,应用于神经外科阶段性医疗流程风险管理。结果与结论改良型FMEA法在神经外科阶段性医疗流程管理中的应用切实可行,能够通过控制该流程中的风险因素降低医疗风险的发生,对推动医疗风险管理趋于常规化、程序化、科学化、规范化和提升医院医疗质量意义重大,具有推广应用的价值。Objective To explore the applicability of improved FMEA in the periodical medical risk management of neurosurgery,and to provide a basis for its further promotion and application. Methods We applied the improved FMEA to the periodical medical risk management of neurosurgery,which is formed by the combination of RCA and FMEA. Results and Conclusion The application of the improved FMEA in periodical medical risk management of neurosurgery is feasible. It can reduce medical risk by controlling risk factors in medical process. It is important to make the medical risk management more regularized,programmed,standardized and scientific to improve hospital medical quality,which has great value of promotion and application.

关 键 词：改良型FMEA RCA FMEA 医疗风险 神经外科 风险管理 

分 类 号：R197.32[医药卫生—卫生事业管理]