失效模式与效果分析法用于医院药事管理效果评价  

Application Effect of Failure Mode and Effect Analysis Method in Hospital Pharmaceutical Administration

作　　者：赵越 李金贵 张浩 修帆 杨胜利 ZHAO Yue;LI Jingui;ZHANG Hao;XIU Fan;YANG Shengli(Sichuan Tianfu New Area People′s Hospital,Chengdu,Sichuan,China 610213)

机构地区：[1]四川天府新区人民医院,四川成都610213

出　　处：《中国药业》2022年第17期30-33,共4页China Pharmaceuticals

摘　　要：目的 探讨失效模型与效果分析(FMEA)法在降低和预防各药品安全事件中的应用效果。方法 收集2017年8月至2019年8月(实施FMEA后,设为研究组)和2015年1月至2017年1月(实施FMEA前,设为对照组)10名药品管理人员的安全事件发生情况,根据自制量表评估服务满意度、药品管理质量,计算工作风险值。结果 研究组发生药品种类错误(2.60±1.17)次、药品数量错误(2.70±1.16)次、药框错误(2.70±0.82)次、其他药物安全事故(3.30±1.06)次,分别显著低于对照组的(6.80±2.04)次、(8.00±2.49)次、(6.70±2.11)次、(7.80±2.53)次(t=5.640,6.090,5.580,5.180,P值均为0.000);研究组服务满意度评分(92.20±5.80)分,显著高于对照组的(81.20±7.30)分(t=3.680,P=0.002);研究组药品管理质量评分为(91.10±7.80)分,显著高于对照组的(79.40±6.20)分(t=3.750,P=0.001);研究组工作风险值为(782.30±43.60)分,显著低于对照组的(952.40±33.80)分(t=9.750,P=0.000)。结论 FMEA能降低医院药事管理中药物安全事故的发生率,提高患者的服务满意度,增加药品管理质量,降低工作风险。Objective To investigate the application effect of the failure mode and effect analysis (FMEA) method in decreasing the occurrence of drug safety events and preventing such events.MethodsTen drug managers who implemented the FMEA from August 2017 to August 2019 were selected as the study group,while ten drug managers who did not implement the FMEA from January 2015 to January 2017 were selected as the control group.The occurrence of drug safety events in the two groups were collected.The self-made scale was used to evaluate the service satisfaction and drug management quality,and the risk priority number (RPN) was calculated.ResultsThe drug type error,drug quantity error,drug frame error and other drug safety events were (2.60±1.17)times,(2.70±1.16)times,(2.70±0.82)times and (3.30±1.06)times respectively in the study group,which were significantly fewer than (6.80±2.04)times,(8.00±2.49)times,(6.70±2.11)times and (7.80±2.53)times respectively in the control group (t=5.640,6.090,5.580,5.180,P=0.000).The service satisfaction score in the study group was (92.20±5.80)points,which was significantly higher than (81.20±7.30)points in the control group (t=3.680,P=0.002).The drug management quality score in the study group was (91.10±7.80)points,which was significantly higher than (79.40±6.20)points in the control group (t=3.750,P=0.001).The RPN in the study group was (782.30±43.60)points,which was significantly lower than(952.40±33.80)points in the control group (t=9.750,P=0.000).ConclusionFMEA can decrease the occurrence of drug safety events in hospital pharmaceutical administration,improve the service satisfaction of patient and drug management quality,and decrease the RPN.

关 键 词：失效模式与效果分析法 药物安全事故 药品管理质量 服务满意度 工作风险值 

分 类 号：R95[医药卫生—药学]