医疗失效模式与效应分析的护理干预在老年住院患者预防跌倒管理中的应用研究  

Application of nursing intervention based on healthcare failure mode and effect analysis in preventing falling among elderly inpatients

作　　者：刘艾红[1] 袁金蓉[1] 彭颖洁 邹娟[1] 梅雨欣 LIU Aihong;YUAN Jinrong;PENG Yingjie;ZOU Juan;MEI Yuxin(General Department,Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院西院综合科

出　　处：《护理管理杂志》2020年第1期69-72,共4页Journal of Nursing Administration

摘　　要：目的探讨医疗失效模式和效应分析的护理干预在预防老年住院患者跌倒中的应用效果。方法选择老年住院患者488例,按照入院时间分为干预组263例,对照组225例,对照组实施常规护理,干预组在对照组基础上实施医疗失效模式和效应分析护理干预,包括成立团队小组、绘制流程图、找出潜在原因,进行风险分析、制订改进方案、效果评价。结果干预后干预组风险系数值明显降低(P<0.01);干预组跌倒发生率低于对照组(P<0.01)。结论实施医疗失效模式和效应的护理干预能降低老年住院患者跌倒的发生率,确保患者的安全。Objective To explore the effect of nursing intervention based on healthcare failure mode and effect analysis(HFMEA) in preventing elderly inpatients falling.Methods A total of 488 hospitalized elderly patients were divided into the intervention group(n=263)and the control group(n=225).The control group received conventional nursing and the intervention group received nursing care based on HFMEA,including establishment of failure mode and effect analysis team,draw flow chart,find out the potential causes,risk analysis,make the improvement plan and effect evaluation.Results The risk coefficient of intervention group was significantly lower than before(P<0.01).The incidence of falling of intervention group was significantly lower than that in control group(P<0.01).Conclusion The nursing intervention based on HFMEA can decrease incidence of falling in elderly inpatients,and it was worth popularizing application in clinical practice.

关 键 词：老年患者 医疗失效模式与效应分析 风险管理 跌倒 

分 类 号：R197.323[医药卫生—卫生事业管理]