医疗失效模式与效应分析模式在儿科门诊输液风险管理中的应用效果分析  

Analysis on Application Effect of Healthcare Failure Mode and Effect Analysis Model in Pediatric Outpatient Infusion Risk Management

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作  者:朱晓华 朱丽新 Zhu Xiaohua;Zhu Lixin(Affiliated Children's Hospital of Jiangnan University,Wuxi 214000,Jiangsu Province,China)

机构地区:[1]江南大学附属儿童医院,江苏无锡214000

出  处:《中国社区医师》2024年第19期133-135,共3页Chinese Community Doctors

摘  要:目的:探讨医疗失效模式与效应分析(HFMEA)模式在儿科门诊输液风险管理中的应用效果。方法:选取2021年1月—2022年12月于江南大学附属儿童医院儿科门诊输液室行静脉输液治疗的120例患儿作为研究对象,随机分为对照组和观察组,各60例。对照组采取常规护理,观察组在对照组基础上应用HFMEA模式,比较两组护理效果。结果:观察组护理差错总发生率低于对照组,差异有统计学意义(P=0.004)。观察组输液并发症总发生率低于对照组,差异有统计学意义(P=0.026)。观察组面部表情疼痛量表评分、状态焦虑量表评分、特质焦虑量表评分低于对照组,穿刺操作时间短于对照组,差异有统计学意义(P<0.001)。观察组护理总满意度高于对照组,差异有统计学意义(P=0.004)。结论:HFMEA模式在儿科门诊输液风险管理中的应用效果显著,能够降低护理差错和静脉留置针输液并发症发生率,减轻患儿穿刺疼痛和心理应激反应,缩短穿刺操作时间,提高护理效率和护理满意度。Objective:To explore the application effect of healthcare failure mode and effect analysis(HFMEA)model in pediatric outpatient infusion risk management.Methods:A total of 120 children who underwent intravenous infusion therapy in the Pediatric Outpatient Infusion Room of the Affiliated Children's Hospital of Jiangnan University from January 2021 to December 2022 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 60 cases in each group.The control group was given routine nursing,and the observation group was given HFMEA model on the basis of the control group.The nursing effects were compared between two groups.Results:The total incidence of nursing errors in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.004).The total incidence of infusion complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.026).The scores of Faces Pain Scale,State Anxiety Inventory and Trait Anxiety Inventory in the observation group were lower than those in the control group,while puncture operation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).The total nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.004).Conclusion:The application of HFMEA model in pediatric outpatient infusion risk management has a significant effects,and can reduce the incidence of nursing errors and intravenous indwelling needle infusion complications,relieve the puncture pain and psychological stress reaction of children,shorten the puncture operation time,and improve the nursing efficiency and nursing satisfaction.

关 键 词:儿科 静脉输液 风险管理 医疗失效模式与效应分析模式 

分 类 号:R473.72[医药卫生—护理学]

 

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