FMEA模式对行门急诊静脉留置针治疗的小儿置管风险和输液安全的影响  

Effect of FMEA mode on catheterization risk and transfusion safety of children undergoing intravenous indwelling needle treatment in outpatient and emergency department

作　　者：陆燕芳 朱锋[1] 过毅[1] Lu Yanfang;Zhu Feng;Guo Yi(The Second People's Hospital of Wuxi,214000,China)

机构地区：[1]无锡市第二人民医院,214000

出　　处：《国际护理学杂志》2021年第9期1537-1541,共5页international journal of nursing

基　　金：无锡市卫生计生委妇幼健康科研项目(FYKY201602)

摘　　要：目的分析失效模式和效应分析(FMEA)模式对行门急诊静脉留置针治疗的小儿置管风险和输液安全的影响。方法2017年7月至2018年6月行门急诊静脉留置针治疗的100例患儿设为对照组,予以常规护理;2018年7月至2019年6月行门急诊静脉留置针治疗的100例患儿设为研究组,采用FMEA模式护理,由护士对患儿在行静脉留置针过程中可能出现的失效模式、原因及结果进行剖析,计算出具体的风险值(RPN),就留置针相关危险因素做出管理,给出具体的整改方案。比较两组患儿实施FMEA模式前后的导管堵塞、外渗、意外拔针/脱管、穿刺部位感染的RPN。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评分均低于对照组,差异有统计学意义(均P<0.05)。结论FMEA模式应用于行门急诊静脉留置针治疗小儿中,能降低置管风险,且能提高输液安全。Objective To analyze the influence of failure mode and effect analysis(FMEA)mode on the catheterization risk and transfusion safety of children treated with intravenous indwelling needle in outpatient and emergency department.Methods A total of 100 children who received intravenous indwaining needle in outpatient and emergency treatment in this hospital from July 2017 to June 2018 were set as the control group and received routine care.A total of 100 children who were treated with intravenous indwaining needle in outpatient and emergency departments in this hospital from July 2018 to June 2019 were assigned as research group,and FMEA nursing mode was adopted.The nurses analyzed the failure modes,causes and results that may occur in the process of intravenous indwelling needles,calculated the specific value of risk(RPN),managed the risk factors related to the indwelling needles,and provided specific rectification plans.The RPN values of catheter blockage,extravasation,accidental needle extraction/catheter removal and puncture site infection before and after FMEA mode were compared between the two groups.Results After the implementation of FMEA mode,the RPN scores of accidental extubation/extubation,catheter obstruction,puncture site infection and extravasation in the study group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions FMEA mode can reduce the risk of catheterization and improve the safety of infusion in the treatment of children with intravenous indwelling needle in outpatient and emergency.

关 键 词：FMEA 静脉留置针 置管风险 输液安全 

分 类 号：R473.72[医药卫生—护理学]