HFMEA风险管理模式在急诊多发性创伤患者中的应用效果研究  

A Study of the Effectiveness of the HFMEA Risk Management Model in Emergency Polytrauma Patients

作　　者：广明亮 冯劲立[1] 陈楚云[1] 谢箐[1] 胡兴杰 Guang Mingliang;Feng Jinli;Chen Chuyun;Xin Jing;Hu Xingjie(Department of Emergency Medicine,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan Guangdong 528400,China)

机构地区：[1]中山市中医院急诊科,广东中山528400

出　　处：《生命科学仪器》2024年第2期45-47,共3页Life Science Instruments

基　　金：中山市医学科研项目(2021A020819)。

摘　　要：目的探究医疗失效模式和效应分析(HFMEA)风险管理模式在急救多发性创伤患者中的应用效果。方法选取2021年1至2022年1月期间中山市中医院收治的急诊急救多发性创伤患者82例,根据救治模式差异分为观察组(n=41)与对照组(n=41)。对照组按照一般抢救流程救治,观察组给予患者常规流程下HFMEA风险管理模式。对比两组抢救时间、并发症及急救效果。结果观察组抢救反应时间、急诊检查时间、急诊科救治时间均短于对照组,P<0.05。观察组治愈率、良好率均高于对照组,轻度残疾、重度残疾及植物生存率均低于对照组,P<0.05。观察组并发症发生率低于对照组,P<0.05。结论给予急诊急救多发性创伤患者HFMEA风险管理模式可缩短其抢救时间,提高抢救成功率,并减少并发症。Objective:To explore the application effect of medical failure mode and effect analysis(HFMEA)risk management mode in emergency treatment of patients with multiple trauma.Methods:Eighty-two emergency patients with multiple trauma admitted to Zhongshan Hospital of Traditional Chinese Medicine from January 2021 to January 2022 were selected and divided into observation group(n=41)and control group(n=41)according to the difference of treatment mode.The control group was treated according to the general rescue process,and the observation group was given the HFMEA risk management model under the routine process.The rescue time、complications and first aid effect were compared between the two groups.Results:The emergency response time,emergency examination time and emergency treatment time in the observation group were shorter than those in the control group,P<0.05.The cure rate and good rate of the observation group were higher than those of the control group,while the slight disability,severe disability and plant survival rate were lower than those of the control group,P<0.05.The incidence of complications in the observation group was lower than that in the control group,P<0.05.Conclusion:Giving HFMEA risk management model to emergency patients with multiple trauma can shorten their rescue time,improve the success rate of rescue and reduce complications.

关 键 词：医疗失效模式和效应分析风险管理模式 多发性创伤 急诊科急救 

分 类 号：R47[医药卫生—护理学]