失效模式与效应分析模式在儿童急诊静脉留置针中的应用  

Application of FMEA in pediatric emergency intravenous indwelling needle

作　　者：彭红[1] 李梅[1] 彭巧丽 黄钰茹 邱菊 Peng Hong;Li Mei;Peng Qiaoli;Huang Yuru;Qiu Ju(Pediatric Emergency Department of First People's Hospital in Zigong City,Zigong Sichuan 643000)

机构地区：[1]四川省自贡市第一人民医院儿科门诊,四川自贡643000

出　　处：《护士进修杂志》2020年第19期1783-1786,共4页Journal of Nurses Training

摘　　要：目的探讨失效模式和效应分析模式在儿童急诊静脉留置针中的作用。方法选取我院儿科急诊2018年1月1-10日使用静脉留置针输液的112例患儿作为对照组,采取常规护理模式干预;将2018年1月21-30日使用静脉留置针的112例患儿作为研究组,在常规护理基础上应用失效模式和效应分析模式,对使用中可能出现的失效模式、原因尤其是居家留置期间的高危因素等实施整改,对两组患儿留置针留置时间、留置安全质量风险优选指数、静脉留置针并发症(导管堵塞、意外脱管、静脉炎、留置针压伤、外渗)发生率进行比较。结果研究组平均留置针留置时间为(5.1±0.7)d,长于对照组;留置安全质量风险优选指数为(193.6±31.8),低于对照组;静脉留置针并发症发生率5.36%,低于对照组的22.32%;两组比较差异有统计学意义(P<0.05)。结论失效模式和效应分析模式可有效降低儿童急诊静脉留置针静脉输液并发症,延长留置时间。Objective To study the effect of HFMEA on intravenous indwelling needle in children emergency.Methods 112 children who received intravenous indwelling needle infusion during the period of January 1-10,2018 in the pediatric emergency department of our hospital were selected as the control group,and routine nursing intervention was adopted.112 cases who used intravenous indwelling needle during January 21-30,2018 were set as the study group.The failure mode and effect analysis mode were applied on the basis of routine nursing to improve the possible failure mode and causes,especially the high risk factors during the period of home indwelling.The duration of indwelling,the optimal index of safety and quality risk and the incidence of complications of intravenous indwelling needle(catheter blockage,accidental extubation,phlebitis,indwelling needle compression,and exudation)were compared between the two groups.Results The average indwelling time was(5.1±0.7)d in the study group,which was higher than that in the control group.The preferred index of indwelling safety quality risk was(193.6±31.8).It's lower than that of the control group.The complication rate of intravenous indwelling needle was 5.36%,lower than that of the control group(22.32%).The difference between the two groups was statistically significant(P<0.05).Conclusion The failure mode and effect analysis mode can effectively reduce the complications of intravenous infusion and prolong the indwelling time in the emergency care of children with intravenous indwelling needle.

关 键 词：失效模式和效应分析模式 儿童急诊 静脉留置针 并发症 留置时间 儿科护理 

分 类 号：R472.72[医药卫生—护理学]