CAJ | 학술논문

目的：：探讨失效模式与效应分析( FMEA)在改造急危重症患者院内转运流程的应用效果。方法：选取我院2011年1月~2012年12月院内转运的120例急危重症患者，随机等分为对照组与试验组。对照组采取常规抢救护理，试验组在此基础上应用失效模式与效应分析急危重症患者院内转运流程可能存在的问题，分析问题根源同时提出解决方案，提前规避转运意外事件发生的风险。比较两组影响失效模式的危险因素风险系数(RPN)。结果：试验组影响失效模式的危险因素的RPN值均明显小于对照组，差异具有统计学意义(P<0.05)。结论：FMEA改造急危重症患者院内转运流程可明显降低影响失效模式的危险因素发生的风险，提高患者院内转运的安全性，具有临床可行性。
목적：：탐토실효모식여효응분석( FMEA)재개조급위중증환자원내전운류정적응용효과。방법：선취아원2011년1월~2012년12월원내전운적120례급위중증환자，수궤등분위대조조여시험조。대조조채취상규창구호리，시험조재차기출상응용실효모식여효응분석급위중증환자원내전운류정가능존재적문제，분석문제근원동시제출해결방안，제전규피전운의외사건발생적풍험。비교량조영향실효모식적위험인소풍험계수(RPN)。결과：시험조영향실효모식적위험인소적RPN치균명현소우대조조，차이구유통계학의의(P<0.05)。결론：FMEA개조급위중증환자원내전운류정가명현강저영향실효모식적위험인소발생적풍험，제고환자원내전운적안전성，구유림상가행성。
Objective:To investigate the failure mode and effects analysis ( FMEA) transformation of the acute critically ill patients in the department of transport process of the application. Methods:Selected in our hospital in January 2011 to December 2012 hospital transport of 120 cases of critically ill pa-tients,and they were randomly divided into two groups,the patients in the control group with routine rescue nursing measures,and the experimental group usd failure mode and effect critically ill hospital patient transport process of possible problems,and analyzed the root causes of the problem and puts forward solu-tions,ahead to avoid the risk of transfer accidents. To compare the failure mode risk factors risk coefficient( RPN) of two groups. Results:The RPN of experi-nental group was lower than the control group(P<0. 05). Conclusion:FMEA,acute transformation of critically ill patients in the department of transport process can significantly reduce the impact of failure mode risk factor for the occurrence of the risk,improve patients with nosocomial transportation safety.