中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
15期
1746-1749
,共4页
王定清%沈曲%袁中草%牟园芬%李戈%徐丽华%张立福%吴柳玲%袁小娟
王定清%瀋麯%袁中草%牟園芬%李戈%徐麗華%張立福%吳柳玲%袁小娟
왕정청%침곡%원중초%모완분%리과%서려화%장립복%오류령%원소연
卡介苗%接种%医疗失效模式与效应分析
卡介苗%接種%醫療失效模式與效應分析
잡개묘%접충%의료실효모식여효응분석
BCG vaccine%Vaccination%Healthcare failure mode and effect analysis(HFMEA)
目的 探讨医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)在新生儿卡介苗安全接种管理中的应用效果.方法 选取2009年出生的1000名新生儿为对照组,按常规进行卡介苗接种；选取2010年出生的1000名新生儿为观察组,应用HFMEA对卡介苗接种进行管理,从接种流程中找出潜在失效模式、潜在失效原因与潜在失效后果,进行危害分析与决策树分析,对于需优先解决的问题制订并实施有效的控制措施.结果 应用HFMEA管理后,卡介苗接种过程中风险顺序指数≥8分的高危流程经过实施控制措施后其风险顺序指数均≤6分,卡介苗接种不良反应发生率由0.6％降至0.0％(x2 =4.2,P＜0.05).结论 运用HFMEA对新生儿卡介苗接种进行管理,能降低卡介苗接种不良反应发生的风险,提高卡介苗接种工作的安全性.
目的 探討醫療失效模式與效應分析(healthcare failure mode and effect analysis,HFMEA)在新生兒卡介苗安全接種管理中的應用效果.方法 選取2009年齣生的1000名新生兒為對照組,按常規進行卡介苗接種；選取2010年齣生的1000名新生兒為觀察組,應用HFMEA對卡介苗接種進行管理,從接種流程中找齣潛在失效模式、潛在失效原因與潛在失效後果,進行危害分析與決策樹分析,對于需優先解決的問題製訂併實施有效的控製措施.結果 應用HFMEA管理後,卡介苗接種過程中風險順序指數≥8分的高危流程經過實施控製措施後其風險順序指數均≤6分,卡介苗接種不良反應髮生率由0.6％降至0.0％(x2 =4.2,P＜0.05).結論 運用HFMEA對新生兒卡介苗接種進行管理,能降低卡介苗接種不良反應髮生的風險,提高卡介苗接種工作的安全性.
목적 탐토의료실효모식여효응분석(healthcare failure mode and effect analysis,HFMEA)재신생인잡개묘안전접충관리중적응용효과.방법 선취2009년출생적1000명신생인위대조조,안상규진행잡개묘접충；선취2010년출생적1000명신생인위관찰조,응용HFMEA대잡개묘접충진행관리,종접충류정중조출잠재실효모식、잠재실효원인여잠재실효후과,진행위해분석여결책수분석,대우수우선해결적문제제정병실시유효적공제조시.결과 응용HFMEA관리후,잡개묘접충과정중풍험순서지수≥8분적고위류정경과실시공제조시후기풍험순서지수균≤6분,잡개묘접충불량반응발생솔유0.6％강지0.0％(x2 =4.2,P＜0.05).결론 운용HFMEA대신생인잡개묘접충진행관리,능강저잡개묘접충불량반응발생적풍험,제고잡개묘접충공작적안전성.
Objective To explore the effect of the Healthcare Failure Mode and Effect Analysis (HFMEA) in the security management of newborn Bacillus Calmette-Guerin (BCG) vaccination.Methods One thousand neonates born in 2010 were selected as the experiment group who received the BCG vaccination under the management with the HFMEA.One thousand neonates born in 2009 were served as the control group who received routine BCG vaccination after birth.We performed the hazard analysis and decision making tree by making the effort to find the potential failure mode,reason and effect during the vaccination procedure and formulate and take the steps for top priority issue.Results After the application of the HFMEA into the management,the index of the risk priority number (RPN) ≥8 points in the high risk process could decrease to the average≤6 points by means of controlled measures in the procedure of BCG vaccination.The incidence rate of adverse reaction for the BCG vaccination could decrease to 0.0％ from 0.6％ ( x2 =4.2,P ＜ 0.05 ).Conclusions We can reduce the risk of adverse reaction and promote the rate of safety in BCG vaccination by mean of the management of BCG vaccination procedure with the HFMEA.
