中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
12期
36-39
,共4页
张悦%夏玲%谭思源%陈艳%胡清%金勤%王卉洁%韦佳佳
張悅%夏玲%譚思源%陳豔%鬍清%金勤%王卉潔%韋佳佳
장열%하령%담사원%진염%호청%금근%왕훼길%위가가
失效模式与效应分析%导尿管相关尿路感染%干预%头脑风暴
失效模式與效應分析%導尿管相關尿路感染%榦預%頭腦風暴
실효모식여효응분석%도뇨관상관뇨로감염%간예%두뇌풍폭
Failure mode and effects analysis%Catheter-associated urinary tract infections%Intervention%Brain storming
目的 基于失效模式与效应分析(failure mode and effects analysis,FMEA)管理模式构建导尿管相关尿路感染干预策略.方法 基于FMEA管理模式,组建团队、绘制流程图、识别流程中潜在失效模式、分析失效原因及影响因素、进行风险优先指数(RPT)评分,对评分＞125分的失效模式构建干预策略.结果 RPN评分＞125分的失效模式有8个,即操作者准备、插入导尿管、固定集尿袋、会阴护理、集尿袋放尿、更换集尿袋、目标监测及拔管.对8个失效模式构建干预策略.结论 基于FMEA管理模式构建导尿管相关尿路感染干预策略是可行的、科学的,具有一定的临床应用价值及前景.
目的 基于失效模式與效應分析(failure mode and effects analysis,FMEA)管理模式構建導尿管相關尿路感染榦預策略.方法 基于FMEA管理模式,組建糰隊、繪製流程圖、識彆流程中潛在失效模式、分析失效原因及影響因素、進行風險優先指數(RPT)評分,對評分＞125分的失效模式構建榦預策略.結果 RPN評分＞125分的失效模式有8箇,即操作者準備、插入導尿管、固定集尿袋、會陰護理、集尿袋放尿、更換集尿袋、目標鑑測及拔管.對8箇失效模式構建榦預策略.結論 基于FMEA管理模式構建導尿管相關尿路感染榦預策略是可行的、科學的,具有一定的臨床應用價值及前景.
목적 기우실효모식여효응분석(failure mode and effects analysis,FMEA)관리모식구건도뇨관상관뇨로감염간예책략.방법 기우FMEA관리모식,조건단대、회제류정도、식별류정중잠재실효모식、분석실효원인급영향인소、진행풍험우선지수(RPT)평분,대평분＞125분적실효모식구건간예책략.결과 RPN평분＞125분적실효모식유8개,즉조작자준비、삽입도뇨관、고정집뇨대、회음호리、집뇨대방뇨、경환집뇨대、목표감측급발관.대8개실효모식구건간예책략.결론 기우FMEA관리모식구건도뇨관상관뇨로감염간예책략시가행적、과학적,구유일정적림상응용개치급전경.
Objective To build catheter-associated urinary tract infections intervention stratagem based on failure mode and effects analysis.Methods Based on failure mode and effects analysis,forming teams,drawing the flowchart,listing the failure mode,analyzing the causes and effects of failure mode,and the experts giving RPN score,and the score＞125 should be given intervention stratagem.Results The value＞125 included:operator preparation,insertion of catheters,fixing the collection bags,changing the urine collection bag,target monitoring and extubation.The eight improvement program was built.Conclusions To build catheter-associated urinary tract infections intervention stratagem based on failure mode and effects analysis is feasible and scientific,there are certain clinical application prospect.
