李莉, 徐凌忠. 失效模式与效应分析法在手术体位安置管理中的应用[J]. 蚌埠医学院学报, 2017, 42(5): 691-693. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.041
    引用本文: 李莉, 徐凌忠. 失效模式与效应分析法在手术体位安置管理中的应用[J]. 蚌埠医学院学报, 2017, 42(5): 691-693. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.041
    LI Li, XU Ling-zhong. Application of the failure mode and effect analysis in the management of surgical position placement of patients[J]. Journal of Bengbu Medical College, 2017, 42(5): 691-693. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.041
    Citation: LI Li, XU Ling-zhong. Application of the failure mode and effect analysis in the management of surgical position placement of patients[J]. Journal of Bengbu Medical College, 2017, 42(5): 691-693. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.041

    失效模式与效应分析法在手术体位安置管理中的应用

    Application of the failure mode and effect analysis in the management of surgical position placement of patients

    • 摘要: 目的:探讨失效模式与效应分析(FMEA)法在手术体位安置管理中的应用效果。方法:选取行肺癌根治术、食管癌根治术病人526例,其中2015年6月至2016年2月256例为对照组,2016年4-11月270例为观察组。观察组应用FMEA法识别手术体位安置过程中易发生的潜在失效模式,分析原因,制定相应改进措施并实施。比较实施前后观察组失效模式风险优先指数和2组手术体位相关并发症发生情况以及病人满意度,评价管理效果。结果:应用FMEA法后,观察组影响手术体位安置安全的失效模式风险优先指数较实施前均明显下降;观察手术体位相关并发症发生率明显低于对照组(P<0.01),病人满意度显著高于对照组(P<0.01)。结论:在手术体位安置安全管理中应用FMEA法,能前瞻性、系统性地识别和消除潜在的风险,减少手术体位相关并发症发生,有效地保障病人的安全。

       

      Abstract: Objective: To explore the application of failure mode and effect analysis(FMEA)in the safety management of surgical position placement of patient.Methods: Five hundred and twenty-six cases of radical resection of lung cancer and esophageal carcinoma were selected. Among them,256 cases from June 2015 to February 2016 were set as control group,270 cases from April 2016 to November 2016 as observation group.FMEA was used to identify the frequent failure mode for surgical position placement of patient,analyze the reasons and make the improvement measures in the observation group.The risk priority index (RPN) of the failure mode before and after the operation,the incidence of complications related to the surgical position,the condition of patient satisfaction and management effect were evaluated.Results: After application of FMEA, the RPN value of the failure mode influencing the surgical position was significantly decreased,and the incidence of complications related to surgical position in the observation group was significantly lower than those in the control group(P<0.01).Patient satisfaction was significantly higher than that in the control group(P<0.01).Conclusions: The application of FMEA in the safety management of surgical position placement of patient in operation room contributes to identify and eliminate the potential risks,reduce incidence of complications related to the surgical position,protect the safety of patients effectively.

       

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