静脉留置针对实施FMEA模式小儿置管风险和输液安全的影响  

The influence of FMEA mode on risk of intubation and transfusion safety in children indwelling intravenous indwelling needle

作　　者：姜玉 曾健[1] JIANG Yu(Seventh people's hospital of Zhengzhou,Zhengzhou,He'nan,450000,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《齐齐哈尔医学院学报》2020年第15期1952-1954,共3页Journal of Qiqihar Medical University

摘　　要：目的探究静脉留置针对实施FMEA模式小儿置管风险和输液安全的影响。方法选择2017年4月—2018年7月本院儿科收诊的88例行静脉留置针治疗小儿作为研究对象,随机数表法分为研究组和对照组两组,每组各44例。对照组开展传统护理措施;研究组则在对照组干预的基础上引入FMEA模式(失效模式与效应分析),并对影响患儿静脉留置针的风险因素及输液安全进行分析。记录研究组患儿在实施FMEA模式后,导管堵塞、外渗、意外拔针/脱管、穿刺部位感染的RPN值,并与对照组上述情境下的RPN值进行比较。结果实施FMEA模式后,研究组意外拔管/脱管、导管堵塞、穿刺部位感染、外渗的RPN值评分均低于对照组,差异有统计学意义(P<0.05)。结论FMEA模式应用于行静脉穿刺留置针治疗的患儿,能帮助护士全方位审视相关风险因素,更能帮助护士调动个人主观能动性自觉践行风险管控举措,从而保证患儿在置管全程的安全性。Objective To explore the effect of FMEA mode on catheterization risk and transfusion safety in children treated with intravenous indwelling needle.Methods From April 2017 to July 2018,88 cases of children those were treated with intravenous indwelling needle in pediatrics department of our hospital were enrolled in the study.According to the random number table method,the eligible subjects were divided into study group and control group,44 cases in each group.Traditional nursing measures was carried out in the control group,while the study group introduced FMEA mode(failure mode and effect analysis)on the basis of the interventions in the control group,and the risk factors affecting the intravenous indwelling needle and the safety of infusion were analyzed.The RPN values of catheter blockage,extravasation,accidental needle extraction or decannulation and puncture site infection in the study group were recorded and compared with those with the control group.Results After the application of FMEA,the RPN scores of accidental extubation/decannulation,catheter blockage,puncture site infection and exosmosis in the study group were lower than those in the control group(P<0.05).Conclusions The application of FMEA model in the treatment of children with venipuncture indwelling needle could help nurses to examine the relevant risk factors in an all-round way,and help nurses mobilize their subjective initiative to consciously practice risk control measures,so as to ensure the safety of children in the whole process of indwelling catheter.

关 键 词：FMEA 静脉留置针 置管风险 输液安全 

分 类 号：R472[医药卫生—护理学]