失效模式与效应分析在手术患者转运安全管理中的应用  

Application of failure mode and effect analysis in risk management of perioperative transport safety

作　　者：夏招弟 肖越 刘柔清 周隽 XIA Zhaodi;XIAO Yue;LIU Rouqing;ZHOU Jun(Department of Nursing,Affiliated Hospital of Jinggangshan University,Ji′an 343000,China)

机构地区：[1]井冈山大学附属医院护理部,江西吉安343000

出　　处：《中国临床护理》2025年第3期158-161,共4页Chinese Clinical Nursing

基　　金：江西省吉安市2024年度指导性科技计划项目(编号:20244-049532)。

摘　　要：目的探讨失效模式与效应分析在手术患者转运安全管理中的应用效果。方法将井冈山大学附属医院2024年3-4月收治的468例手术患者设为对照组,将2024年5-6月收治的496例手术患者为研究组。对照组采用手术患者常规转运流程,研究组采用失效模式与效应分析改善后的手术患者转运流程。比较两组转运交接管理失效模式风险优先指数、接台手术等候时间及转运不良事件发生率。结果研究组转运交接管理各项失效模式风险优先指数均低于对照组(P<0.05),接台手术等候时间短于对照组(t=21.530,P<0.001),转运不良事件发生率低于对照组(χ^(2)=8.886,P=0.003)。结论基于失效模式与效应分析的转运交接管理可以降低手术患者转运失效模式的风险,缩短接台手术等候时间,降低转运不良事件发生率。Objective To explore the application effect of failure mode and effect analysis in perioperative transport management of patients.Methods Totally 468 patients admitted to the affiliated hospital of Jinggangshan university between March and April 2024 were selected as the control group,while another 496 treated between May and June 2024 were chosen into the research group.The control group received the routine transport procedure,while the research group adopted the improved transport procedure of failure mode and effect analysis.The risk priority index of failure mode,waiting time and incidence of adverse transport events were compared between the two groups.Results The risk priority index of all failure modes and the incidence of adverse transport events in the research group were significantly lower than that of the control group(P<0.05;χ^(2)=8.886,P=0.003),while the waiting time of the former group were significantly shorter than the latter group(t=21.530,P<0.001).Conclusion Transfer management based on failure mode and effect analysis can reduce the risk of failure mode,shorten the waiting time and reduce the incidence of adverse transport events.

关 键 词：失效模式与效应分析 手术患者 转运交接 安全管理 

分 类 号：R472.3[医药卫生—护理学]