医疗失效模式与效应分析在PCI术后转运中的应用效果评价  

Evaluation of Medical Failure Mode and Effect Analysis in Postoperative Transport After PCI

作　　者：张丽萍[1] 万琼红[1] 柯少力 ZHANG Liping;WAN Qionghong;KE Shaoli(Radiology Intervention Room,The Second Affiliated Hospital of Fujian Medical University,Quanzhou Fujian 362000,China)

机构地区：[1]福建医科大学附属第二医院放射科介入室,福建泉州362000

出　　处：《中国卫生标准管理》2021年第17期89-93,共5页China Health Standard Management

基　　金：福建省泉州市科技计划项目(2018N020S)。

摘　　要：目的探究急诊经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)手术后转运过程中实施医疗失效模式和效应分析作用。方法选择在医院实施急诊PCI手术治疗的100例患者作为研究样本,其研究时间在2019年1月1日—2020年12月30日。将2019年1月1日—12月30日接收的50例急诊PCI手术治疗患者作为常规组,将2020年1月1日—12月30日接收的50例急诊PCI手术治疗患者作为试验组。其中常规组患者实施基础抢救措施,试验组患者在实施基础抢救干预措施的同时,利用失效模式和效应分析针对急诊PCI手术后患者院内专用过程中可能会出现的问题进行分析,并提出相应解决措施,提前规避转运过程中意外事件的发生风险。对比每组急救物品以及设备携带情况;转运时间;急诊PCI手术后并发症出现情况;满意度。结果在呼吸气囊、注射泵、急救药品、氧气枕以及心电监护仪携带率方面,试验组均高于常规组(P<0.05)。试验组转运时间短于常规组(P<0.05)。试验组与常规组并发症总出现率比较无明显差异(P>0.05)。试验组与常规组总满意度依次是98.00%、86.00%(P<0.05)。结论在急诊PCI手术后转运过程中实施医疗失效模式和效应分析,有利于妥善准备和携带急救物品与设备,缩短转运时间,降低并发症出现率,提升患者满意度,发挥一定临床应用效果。Objective To explore the role of medical failure mode and effect analysis in emergency percutaneous coronary intervention(PCI)post-operative transport.Methods 100 patients with emergency PCI in our hospital from January 1,2019 to December 30,2020 were selected as research samples,50 patients received emergency PCI from January 1 to December 30,2019 were selected as the conventional group,and 50 patients received emergency PCI surgery from January 1 to December 30,2020 were selected as the experimental group.Among them,patients in the conventional group was implemented basic rescue measures,while patients in the experimental group was implemented basic rescue interventions,failure mode and effect analysis to analyze the problems that may occur in the hospital dedicated process after emergency PCI surgery,and proposed corresponding solutions to avoid the risk of accidents during the transshipment process in advance.Compared each group of first aid supplies and equipment carrying status;transfer time;complications after emergency PCI surgery;satisfaction.Results The carrying rate of respiratory air bag,injection pump,emergency medicine,oxygen pillow and ECG monitor in the experimental group was higher than that in the conventional group(P<0.05).The transport time of the experimental group was shorter than that of the conventional group(P<0.05).There was no significant difference in the total incidence of complications between the experimental group and the conventional group(P>0.05).The total satisfaction of experimental group and routine group was 98.00%and 86.00%(P<0.05).Conclusion The implementation of medical failure mode and effect analysis in the transport process after emergency PCI operation is conducive to properly prepare and carry emergency supplies and equipment,shorten the transfer time,reduce the incidence of complications,and improve patient satisfaction.It can play a certain clinical application effect.

关 键 词：效果 经皮冠状动脉介入治疗 急诊 效应分析 失效模式 评价 

分 类 号：R543[医药卫生—心血管疾病]