失效模式与效应分析在医院用药风险管控中的应用及局限性  

Application and Limitation of Failure Mode and Effect Analysis in Medication Risk Management

作　　者：牟菲 樊婷婷 王明明 郭桂萍 殷英 关月 王婧雯 MU Fei;FAN Tingting;WANG Mingming;GUO Guiping;YIN Ying;GUAN Yue;WANG Jingwen(Department of Pharmacy,the First Affiliated Hospital of Airforce Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院药剂科,西安710032

出　　处：《医药导报》2021年第11期1598-1603,共6页Herald of Medicine

基　　金：国家自然科学基金资助项目(72074218,81903837)。

摘　　要：为了解失效模式与效应分析(FMEA)在医院用药风险管控中的应用状况,对其存在的问题进行讨论与展望。通过查阅文献,对国内外将FMEA应用于用药风险管控的研究进行归纳和总结。结果发现FMEA在降低输液风险、减少用药错误、促进合理用药、提升用药安全、优化用药流程、控制制剂工艺风险、改善药品安全储存、降低不良反应等方面,取得较好成果。但医疗服务标准的不确定性、干预策略制定的主观性、医药行业风险的特殊性等限制了FMEA的推广使用。FMEA在用药风险管控研究中具有独特优势,具有适用性强、操作简便的特点,但应用仍有一定局限性,与其他技术联合使用在医药领域必将得到更广泛的应用。To understand the application status of failure mode and effects analysis(FMEA)in medication risk management,and to discuss the problems and perspectives of FMEA.This paper reviews the literature and summarizes the research on the application of FMEA to medication risk management at home and abroad.We find that FMEA has achieved good results in reducing infusion risks,reducing medication errors,promoting rational medication use,improving medication safety,optimizing medication processes,controlling preparation process risks,improving safe storage of medicines,and reducing adverse drug reactions.However,the uncertainty of medical service standards,the subjectivity of intervention strategy formulation,and the particularity of risks in the pharmaceutical industry have limited the widespread use of FMEA.This paper points out that FMEA has unique advantages in medication risk management,it is easy to applicate and operate.Because of its limitations,it will be more widely used if it was coubined with other techniques.

关 键 词：失效模式与效应分析 用药风险管理 

分 类 号：R954[医药卫生—药学] R97