失效模式与效应分析法对构建安全输液示范病房的作用  

The effect of failure mode and effect analysis on building fluid safe infusion model demonstration inpatient ward

作　　者：裴晓璐[1] 郝丽[2] 王烁 关丽[3] 刘宏锦[4] 蔡旭 董燕婷 孟峻[6] PEI Xiaolu;HAO Li;WANG Shuo;GUAN Li;LIU Hongjin;CAI Xu;DONG Yanting;MENG Jun(Department of Infectious Diseases(Fever Clinic),Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院感染性疾病科(发热门诊),北京100010 [2]首都医科大学附属北京中医医院护理部,北京100010 [3]首都医科大学附属北京中医医院肿瘤科,北京100010 [4]首都医科大学附属北京中医医院干部保健科,北京100010 [5]首都医科大学附属北京中医医院急诊科,北京100010 [6]首都医科大学附属北京中医医院针灸科,北京100010

出　　处：《中国急救复苏与灾害医学杂志》2022年第10期1295-1299,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家重大科技专项(编号:2017ZX10305501)。

摘　　要：目的 以失效模式与效应分析法(FMEA)管理安全输液示范病房,降低外周静脉输液并发症,提高医疗质量和患者满意度。方法 以安全输液示范病房建立1年以来入院接受静脉治疗的患者作为试验组,同期其他科室接受静脉治疗患者作为对照组。安全输液工作组对示范病房中护士进行培训,各示范病房内组成FMEA小组归纳出安全输液失效模式,采取改进措施,制定标准化作业程序(SOP)。在示范病房中普及静脉治疗知识,评估各组患者静脉治疗过程风险并统计两组密闭式留置针使用率、复杂密闭阀使用率,穿刺部位选择错误率、静脉治疗注意事项患者知晓率及并发症发生率。结果 通过安全输液病房建设成员的努力,制定了SOP以指导安全输液。示范病房内静脉治疗患者在安全输液各项指标较对照组均有显著差异。结论 通过安全输液病房工作的开展,输液静脉治疗的安全性显示明显提升。ObjectiveFailure mode and effect analysis(FMEA)were used to build the fluid safe infusion model demonstration ward,reduce the complications of intravenous infusion and improve the quality of nursing and patient satisfaction.MethodsPatients admitted to hospital over 1 year since the establishment of the fluid safe infusion model demonstration ward were involved in as the experimental group,and patients receiving intravenous therapy in other departments during the same period were involved in as the control group.The fluid safe infusion working group trained nurses in the demonstration ward,and FMEA teams were formed in each demonstration ward to summarize the failure modes of safe infusion to improve measures,develop standard operation procedure(SOP)and popularize knowledge of intravenous therapy in the demonstration ward.The risk of intravenous treatment in each group was evaluated.The utilization rate of closed indwelling needle,the utilization rate of complex closed valve,the error rate of puncture site selection,the awareness rate of intravenous treatment precautions and the incidence rate of complications in both groups were analyzed.ResultsWith the efforts of the members of the safe infusion ward building team,SOP was developed to guide safe infusion.Compared with the control group,there were significant differences in various indexes of safe infusion in the patients of experimental group.ConclusionBy the development of the fluid safe infusion ward,safety of intravenous therapy has been significantly improved.

关 键 词：失效模式 效应分析 安全输液 静脉治疗 

分 类 号：R472.9[医药卫生—护理学]