某三甲医院急诊患者安全管理与对策研究  

Study on Emergency Patient Safety Management and Countermeasures in a 3A Hospital

作　　者：杨晓钟[1] 周立涛[1] 印文[1] 蒯洋洋 张红[1] YANG Xiao-zhong;ZHOU Litao;YIN Wen;KUAI Yang-yang;ZHANG Hong(Huai’an No.1 People’s Hospital Affiliated to Nanjing Medical University,Huai’an,Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院,江苏省淮安市223300

出　　处：《现代医院管理》2024年第3期73-76,共4页Modern Hospital Management

基　　金：国家卫生健康委医院管理研究所医疗质量循证管理持续改进研究项目(YLZLXZ22G012);淮安市社科研究公共卫生服务重点资助课题(2022WSA04)。

摘　　要：目的应用医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)对急诊患者进行安全管理,保障急诊患者安全。方法成立HFMEA小组,选择急诊急救案例,绘制急诊急救流程,找出失效原因,计算危害指数。决策树分析后找出需要重点改善的失效原因,利用鱼骨图找出系统原因,拟定改善方案,包括加强信息化管控、以制度规范流程、组建快速反应小组、加强员工培训。结果实施改善方案后,危害指数明显下降。结论HFMEA强调事前干预,对急诊患者急救等高危流程有重大指导意义,可有效减少潜在风险点,提升急诊医疗质量与安全。Objective:To apply healthcare failure mode and effect analysis(HFMEA)to manage the safety of emergency patients and ensure their safety.Method:An HFMEA team was established to select emergency rescue cases,draw the emergency rescue process,identify the causes of failure,and calculate the hazard index.After analyzing the decision tree,the failure causes that needed to be improved were identified,the system causes were identified using the fishbone diagram,and improvement plans were drawn up,including strengthening information management and control,standardizing the process by system,setting up a rapid response team,and strengthening staff training.Result:After the implementation of the improvement program,the hazard index decreased significantly.Conclusion:HFMEA emphasizes the pre-intervention,which has great guiding significance for high-risk processes,such as emergency patient first aid,and can effectively reduce potential risk points and improve the quality and safety of emergency medical care.

关 键 词：医疗质量 急诊安全管理 风险管理 失效模式与效应分析 

分 类 号：R197.32[医药卫生—卫生事业管理]