中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
7期
731-733
,共3页
住院患者%跌倒%失效模式与效应分析
住院患者%跌倒%失效模式與效應分析
주원환자%질도%실효모식여효응분석
inpatient%fall%failure mode and effects analysis
目的：降低住院患者跌倒事件的发生，提高护理质量，确保患者安全。方法：采用失效模式与效应分析（FMEA）质量改进方法，成立分析小组、绘制流程图、列出潜在失效模式，查找及分析关键失效模式相关的根本原因，提出改善措施并落实。结果：改善措施实施后，患者跌倒失效模式中4项高风险失效模式的RPN值明显低于实施前（P<0.05）；住院患者跌倒例次低于实施前。结论：运用FMEA管理办法，可有效降低住院患者跌倒事件的发生，减少护理投诉与纠纷，提高护理质量。
目的：降低住院患者跌倒事件的髮生，提高護理質量，確保患者安全。方法：採用失效模式與效應分析（FMEA）質量改進方法，成立分析小組、繪製流程圖、列齣潛在失效模式，查找及分析關鍵失效模式相關的根本原因，提齣改善措施併落實。結果：改善措施實施後，患者跌倒失效模式中4項高風險失效模式的RPN值明顯低于實施前（P<0.05）；住院患者跌倒例次低于實施前。結論：運用FMEA管理辦法，可有效降低住院患者跌倒事件的髮生，減少護理投訴與糾紛，提高護理質量。
목적：강저주원환자질도사건적발생，제고호리질량，학보환자안전。방법：채용실효모식여효응분석（FMEA）질량개진방법，성립분석소조、회제류정도、렬출잠재실효모식，사조급분석관건실효모식상관적근본원인，제출개선조시병락실。결과：개선조시실시후，환자질도실효모식중4항고풍험실효모식적RPN치명현저우실시전（P<0.05）；주원환자질도례차저우실시전。결론：운용FMEA관리판법，가유효강저주원환자질도사건적발생，감소호리투소여규분，제고호리질량。
Objective:To reduce the incidence rate of falls in inpatients, to assure the safety of inpatients and to improve the quality of nursing care. Methods:We adopted Failure Mode and Effects Analysis (FMEA) , established an analysis team, drew up a lfowchart, listed potential failure modes, found and analyzed the root cause related to key failure mode, put forward improvement measures, and implemented them. Results:The risk priority number (RPN) values of four high-risk failure modes signiifcantly decreased after implementing the measures (P<0.05). The incidence rate of falls in inpatients after implementing the measures (from Jan. to Dec. 2013) was signiifcantly lower than that before implementing the measures (from Jan. to Dec. 2012) (P<0.05). Conclusion:The application of FEMA can effectively reduce the incidence rate of falls in inpatients, reduce nursing care complaints and disputes, and enhance the quality of nursing care.
