中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
18期
63-65
,共3页
失效模式%PICC%非计划拔管
失效模式%PICC%非計劃拔管
실효모식%PICC%비계화발관
Failure mode%Peripherally inserted central catheter%Unplanned extubation
目的 探讨应用失效模式效应分析对减少PICC非计划拔管发生率的效果.方法 运用失效模式效应分析(FMEA),寻找PICC非计划拔管中潜在的失效模式,从失效模式发生的可能性、被发现的可能性、失效的严重性等三个维度进行评估,计算RPN值;风险优先排列;计划优化流程;进行前瞻性的行为干预.应用FMEA前选择81例患者作为对照组,应用FMEA后选择98例患者作为实验组,比较2组非计划拔管的发生率.结果 2组非计划拔管发生率比较有显著差异.结论 运用失效模式分析能有效地降低PICC患者非计划拔管的发生率.
目的 探討應用失效模式效應分析對減少PICC非計劃拔管髮生率的效果.方法 運用失效模式效應分析(FMEA),尋找PICC非計劃拔管中潛在的失效模式,從失效模式髮生的可能性、被髮現的可能性、失效的嚴重性等三箇維度進行評估,計算RPN值;風險優先排列;計劃優化流程;進行前瞻性的行為榦預.應用FMEA前選擇81例患者作為對照組,應用FMEA後選擇98例患者作為實驗組,比較2組非計劃拔管的髮生率.結果 2組非計劃拔管髮生率比較有顯著差異.結論 運用失效模式分析能有效地降低PICC患者非計劃拔管的髮生率.
목적 탐토응용실효모식효응분석대감소PICC비계화발관발생솔적효과.방법 운용실효모식효응분석(FMEA),심조PICC비계화발관중잠재적실효모식,종실효모식발생적가능성、피발현적가능성、실효적엄중성등삼개유도진행평고,계산RPN치;풍험우선배렬;계화우화류정;진행전첨성적행위간예.응용FMEA전선택81례환자작위대조조,응용FMEA후선택98례환자작위실험조,비교2조비계화발관적발생솔.결과 2조비계화발관발생솔비교유현저차이.결론 운용실효모식분석능유효지강저PICC환자비계화발관적발생솔.
Objective To discuss the application effect of FMEA in reduction of unplanned extubation of PICC.Methods FMEA was applied to find out the failure mode of unplanned extubation of PICC,and then assessed it from three dimensions,which were the likelihood of occurrence,the possibility of being discovered,and the seriousness of the failure,and then calculated the RPN values,risk priority,and plan optimization process,at the last made a proactive behavior intervention.81 patients were selected as the control group before the application of FMEA and 98 patients were set as the experimental group after the application of FMEA.The incidence of unplanned extubation was compared between two groups.Results There was statistically significant difference in unplanned extubation between two groups.Conclusions Application of FMEA can reduce the rate of unplanned extubation of PICC.
