医疗失效模式与效应分析结合根本原因分析在妇科盆腔手术后深静脉血栓风险管理中的应用效果  

Application effect of healthcare failure mode and effect analysis combined with root cause analysis in risk management of deep venous thrombosis after gynecological pelvic surgery

作　　者：王小洁 徐旭 WANG Xiaojie;XU Xu(the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038,China)

机构地区：[1]西安医学院第二附属医院,陕西西安710038

出　　处：《临床医学研究与实践》2024年第5期147-150,155,共5页Clinical Research and Practice

摘　　要：目的探究医疗失效模式与效应分析(HFMEA)结合根本原因分析(RCA)在妇科盆腔手术后深静脉血栓(DVT)风险管理中的应用效果。方法选择2019年8月至2021年12月我院收治的60例妇科盆腔手术后患者进行研究,根据收治时间将其分为对照组(2019年8月至2020年8月)和观察组(2020年9月至2021年12月),每组30例。对照组在常规管理基础上接受RCA管理,观察组在对照组基础上加施HFMEA管理。比较两组的管理效果。结果管理后,观察组护士的护理质量各维度评分均高于对照组(P<0.05)。观察组的并发症总发生率、DVT发生率及风险事件总发生率均低于对照组(P<0.05)。观察组医师对护士的护理满意度及患者对护士的护理满意度评分均高于对照组(P<0.05)。结论HFMEA结合RCA应用在妇科盆腔手术后不仅能提高护理质量,减少并发症、DVT及风险事件的发生,还有助于提升医师与患者对护士的护理满意度,值得推广。Objective To explore the application effect of healthcare failure mode and effect analysis(HFMEA)combined with root cause analysis(RCA)in the risk management of deep venous thrombosis(DVT)after gynecological pelvic surgery.Methods Sixty patients undergoing gynecological pelvic surgery admitted in our hospital from August 2019 to December 2021 were selected for study.According to the time of admission,the patients were divided into control group(August 2019 to August 2020)and observation group(September 2020 to December 2021),with 30 cases in each group.The control group received RCA management on the basis of routine management,and the observation group received HFMEA management on the basis of the control group.The management effects of the two groups were compared.Results After management,the scores of each dimension of nursing quality of nurses in the observation group were higher than those in the control group(P<0.05).The total incidence of complications,incidence of DVT and total incidence of risk events in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction scores of doctors to nurses and patients to nurses in the observation group were higher than those in the control group(P<0.05).Conclusion The HFMEA combined with RCA applied in gynecological pelvic surgery can not only improve the quality of nursing,reduce the occurrence of complications,DVT and risk events,but also help to improve the nursing satisfaction of doctors to nurses and patients to nurses,which is worth promoting.

关 键 词：医疗失效模式与效应分析 根本原因分析 妇科盆腔手术 深静脉血栓 

分 类 号：R473.5[医药卫生—护理学]