HFMEA在我国医疗质量与安全管理中的应用现状分析  

Application of the HFMEA model in Chinese medical quality and safety management

作　　者：孔凡懿 张丹 Kong Fanyi;Zhang Dan(Institute for Hospital Management of Tsinghua University,Tsinghua Shenzhen International Graduate School,Shenzhen 518055,Guangdong Province,China)

机构地区：[1]清华大学医院管理研究院,深圳国际研究生院,广东省深圳市518055

出　　处：《中国医疗管理科学》2025年第2期43-49,共7页Chinese Journal Of Medical Management Sciences

基　　金：清华大学深圳国际研究生院社会治理与创新研究中心项目(20229730188)。

摘　　要：目的厘清医疗失效模式与效应分析(Healthcare Failure Mode and Effect Analysis,HFMEA)在我国医疗质量与安全管理中应用的现状、应用场景与演进趋势,为未来HFMEA的扩展应用与优化发展提供参考。方法在CNKI数据库中检索2009年—2023年与HFMEA在医疗质量与安全管理中应用相关的文章,运用CiteSpace 6.2.R6对关键词进行可视化分析。结果共纳入383篇文献,获得236个关键词,网络密度为0.0102,聚类模块值(Q值)=0.7168,聚类平均轮廓值(S值)=0.9179。HFMEA应用在我国的演进过程可划分为起源期、迸发期、优化期3个阶段。结论HFMEA正在逐步应用于医疗质量与安全管理领域,其应用场景趋向多元,但目前仍主要局限于护理领域,临床、行政、后勤应用薄弱;应用演进趋向深化,但标准化流程不强,尚未广泛推广规范化范式。未来需要通过构建规范流程机制、加强多学科联动合作、培育患者安全文化等方式进行优化与改良。Objective To clarify the reality,application scenario and evolutionary trend of the HFMEA(Healthcare Failure Mode and Effect Analysis)model in Chinese medical quality and safety management,thus providing a reference for the future expansive application and optimized development of HFMEA.Methods Relevant articles on the application of the HFMEA model in medical quality and safety management were searched in China National Knowledge Infrastructure(CNKI)database from 2009 to 2023.CiteSpace 6.2.R6 was used for visual analysis of keywords.Results A total of 383 articles were included,and 236 keywords were obtained.The network density,clustering module value Q,and average clustering contour value S were 0.0102,0.7168,and 0.9179,respectively.The evolution process of the HFMEA model in China could be divided into three stages:"Origin-Burst-Optimization".Conclusion HFMEA is gradually applied to medical quality and safety management.Its application scenario tends to be diversified,but it is still mainly limited to nursing management field,and its clinical,administrative and logistical applications are weak.Its evolution tends to deepen,but standardized paradigm hasn't been established.In the future,it is necessary to optimize and strengthen the application by building normative process and mechanism,strengthening multidisciplinary collaboration,and cultivating patient safety culture.

关 键 词：医疗质量与安全管理 医疗失效模式与效应分析 文献计量分析 管理工具 

分 类 号：G353.1[文化科学—情报学] R197[医药卫生—卫生事业管理]