摘要
目的探讨失效模式与效应分析(FMEA)在门诊输液室输液安全管理中的应用效果。方法采用便利抽样法抽取2017年9月~12月在我院门诊输液室输液治疗的500例患者设为FMEA前组,同法抽取2018年1月~4月在门诊输液的500例患者设为FMEA后组,FMEA前组患者按照门诊输液室输液流程完成输液及护理,FMEA后组在此基础上实施失效模式与效应分析管理,观察比较实施FMEA前后输液安全各高风险失效模式的风险优先指数值(RPN)、护理投诉发生率和患者对护理工作满意率。结果实施FMEA后,输液各高风险失效模式的RPN值均低于实施FMEA前,护理投诉率低于FMEA前,患者对护理工作满意率高于FMEA前,差异有统计学意义(P<0.001)。结论FMEA能有效提高门诊输液室患者的输液安全,提升患者对护理工作的满意度。
Objective To explore the effects of failure mode and effect analysis（FMEA）on transfusion safety management in outpatient transfusion room. Methods Five hundred patients who received transfusion therapy at the outpatient transfusion room of our hospital from September to December 2017 were sampled as pre-FMEA group by convenience sampling and 500 patients who received transfusion therapy at the outpatient transfusion room from January to April 2018 were sampled as post-FMEA group by the same method.The transfusion and nursing care were performed for the pre-FMEA group patients in the outpatient transfusion room.The post-FMEA group patients were added with FMEA management based on the care for pre-FMEA group.The risk priority number（RPN）of the high risk failure modes of transfusion safety before and after FMEA were observed and compared,and the occurrence rate of nursing complaints and the satisfaction rate of the patient with the nursing work were observed and compared. Results After the implementation of FMEA,the RPN values of the high risk failure modes of transfusion were lower than those before the implementation of FMEA,and the nursing complaint rate was lower than that before FMEA,and the satisfaction rate of the nursing work was higher than that before FMEA,and the difference was statistically significant（P〈 0.001）. Conclusion FMEA can effectively improve the transfusion safety for patients in outpatient transfusion room and improve their satisfaction with nursing work.
作者
陆月
韦妹爱
潘瑜
曾琳
Lu Yue;Wei Meiai;Pan Yu;Zeng Lin(Outpatient Transfusion Room,Southwest Hospital Affiliated to Youjiang Medical University for Nationalities,People＇s Hospital of Baise City,Baise 533000,Guangxi,China)
出处
《右江民族医学院学报》
2018年第4期401-404,共4页
Journal of Youjiang Medical University for Nationalities
关键词
失效模式与效应分析
门诊输液室
安全管理
failure mode and effect analysis
outpatient infusion room
safety management
