CAJ | 학술논문

目的探讨失效模式和效应分析(failure mode and effects analysis,FMEA)在预防骨科大手术后下肢深静脉血栓形成(DVT)中的应用效果.方法对2010年7月至2011年7月骨科大手术患者应用FMEA对术后可能发生下肢深静脉血栓形成的原因进行分析,计算危急值(RPN),找出需要优先干预的高风险因素,并针对各高风险因素,制定防范的优先计划和应对措施,且与实施FMEA前(2009年6月至2010年6月)RPN值进行比较.结果危急值FMEA在实施后明显降低,DVT发生率由实施前6例降至实施后0例,前后比较P＜0.05,差异具有统计学意义.结论应用FMEA对骨科大手术后患者进行评估、分析和采取相应措施,能有效防范风险,降低骨科大手术后下肢深静脉血栓形成的发生率,提高护理质量,促进患者康复.
목적 탐토실효모식화효응분석(failure mode and effects analysis,FMEA)재예방골과대수술후하지심정맥혈전형성(DVT)중적응용효과.방법 대2010년7월지2011년7월골과대수술환자응용FMEA대술후가능발생하지심정맥혈전형성적원인진행분석,계산위급치(RPN),조출수요우선간예적고풍험인소,병침대각고풍험인소,제정방범적우선계화화응대조시,차여실시FMEA전(2009년6월지2010년6월)RPN치진행비교.결과 위급치FMEA재실시후명현강저,DVT발생솔유실시전6례강지실시후0례,전후비교P＜0.05,차이구유통계학의의.결론 응용FMEA대골과대수술후환자진행평고、분석화채취상응조시,능유효방범풍험,강저골과대수술후하지심정맥혈전형성적발생솔,제고호리질량,촉진환자강복.
Objective To investigate the effect of failure mode and effects analysis (FMEA) in the prevention of deep vein thrombosis after major orthopedic surgery.Methods The FMEA was used to analyze the possible causes of deep vein thrombosis of lower extremity in the patients after major orthopedic surgery from 2010.7 to 201 1.7.High risk factors needed prior intervention were identified,prevention programs and response priorities were made.The RPN values were compared with that of before FMEA implementation (2009,6 ～ 2010,6).Results The RPN values was reduced significantly after FMEA implemetation,DVT incidence rate was down to 0 case from 6 cases before the implementation,.The data had statistically significant difference ( P ＜ 0.05 ).Conclusions The application of FMEA in assessment,analysis and taking appropriate measures for the patients could effectively prevent risks for major orthopedic surgery,reduce the incidence of lower limb deep venous thrombosis,improve nursing quality and simultaneously promote patients'recovery.