国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
15期
2419-2422
,共4页
患者安全%失效模式%效应分析%跌倒
患者安全%失效模式%效應分析%跌倒
환자안전%실효모식%효응분석%질도
Patient safety%Failure mode%Effect analysis%Fall
目的 运用失效模式与效应分析(FMEA)改进住院患者防跌倒流程及措施,降低跌倒的发生率.方法 对201 1年1月至12月住院的32775例试验组患者运用FMEA方法分析失效模式与潜在原因,计算优先风险指数(RPN)值,改进需优先解决问题的相关措施,随访整改成效,并与2010年1月至12月住院的29500例仅接受医院常规跌倒管理的患者比较跌倒发生率.结果 实施FMEA管理模式后2011年较2010年跌倒失效模式RPN值下降81.78％,跌倒发生率由0.44‰下降至0.12‰.结论 应用失效模式与效应分析法有助于预防和减少跌倒发生,有力地保障患者安全.
目的 運用失效模式與效應分析(FMEA)改進住院患者防跌倒流程及措施,降低跌倒的髮生率.方法 對201 1年1月至12月住院的32775例試驗組患者運用FMEA方法分析失效模式與潛在原因,計算優先風險指數(RPN)值,改進需優先解決問題的相關措施,隨訪整改成效,併與2010年1月至12月住院的29500例僅接受醫院常規跌倒管理的患者比較跌倒髮生率.結果 實施FMEA管理模式後2011年較2010年跌倒失效模式RPN值下降81.78％,跌倒髮生率由0.44‰下降至0.12‰.結論 應用失效模式與效應分析法有助于預防和減少跌倒髮生,有力地保障患者安全.
목적 운용실효모식여효응분석(FMEA)개진주원환자방질도류정급조시,강저질도적발생솔.방법 대201 1년1월지12월주원적32775례시험조환자운용FMEA방법분석실효모식여잠재원인,계산우선풍험지수(RPN)치,개진수우선해결문제적상관조시,수방정개성효,병여2010년1월지12월주원적29500례부접수의원상규질도관리적환자비교질도발생솔.결과 실시FMEA관리모식후2011년교2010년질도실효모식RPN치하강81.78％,질도발생솔유0.44‰하강지0.12‰.결론 응용실효모식여효응분석법유조우예방화감소질도발생,유력지보장환자안전.
Objective To improve fall prevention process and measures by using failure mode and effect analysis (FMEA),in order to reduce the incidence of falls in hospitalized patients.Methods 29,500 patients in our hospital from January to December 2010 were enrolled as a control group,and 32,775 patients hospitalized from January to December 2011 were recruited as a study group.The control group only received regular management system to prevent falls.A fall prevention group was established in the study group to analyze the causes of falls using the FMEA method.The preferred risk index (RPN) was calculated,the measures were made to solve the relevant problems,and the improved effect was tracked.Results The number of RPN was declined by 81.78％ in 2011 after implementation of FMEA,as compared with the number in 2010.And the incidence of falls declined from 0.44‰ to 0.12 ‰.Conclusions Application of failure mode and effect analysis is helpful in the prevention and reduction of falls and effectively guarantee patient safety.
