医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2015年
6期
13-15,42
,共4页
马玲飞%王美珍%马玲平%潘卫星
馬玲飛%王美珍%馬玲平%潘衛星
마령비%왕미진%마령평%반위성
手术室%护理安全
手術室%護理安全
수술실%호리안전
Operation room%Nursing safety
目的探讨医疗失效模式和效果分析模式（Healthcare Failure Mode and Effect Analysis，HFMEA）在手术室护理安全管理中的应用效果。方法本院手术室2013年1月成立HFMEA管理小组，运用HFMEA模式评估手术患者手术过程中易发生失效的原因，找出亟待解决的失效环节，进而分析整改措施并实施，以预防失效模式的再次发生。比较实施前后手术室护理不良事件发生情况、失效模式RPN值及患者满意度。结果应用HFMEA模式后，手术室各种护理不良事件发生情况均有明显下降；影响手术护理安全的失效模式RPN值由2104分下降到474分，差异有统计学意义（P<0.05）；患者满意度由80.20%提高到92.12%，差异有统计学意义（P<0.05）。结论 HFMEA模式的运用可以预见手术室护理工作中的失效环节，确定手术室安全重点改进目标，最终通过实施措施，确保手术室护理安全。
目的探討醫療失效模式和效果分析模式（Healthcare Failure Mode and Effect Analysis，HFMEA）在手術室護理安全管理中的應用效果。方法本院手術室2013年1月成立HFMEA管理小組，運用HFMEA模式評估手術患者手術過程中易髮生失效的原因，找齣亟待解決的失效環節，進而分析整改措施併實施，以預防失效模式的再次髮生。比較實施前後手術室護理不良事件髮生情況、失效模式RPN值及患者滿意度。結果應用HFMEA模式後，手術室各種護理不良事件髮生情況均有明顯下降；影響手術護理安全的失效模式RPN值由2104分下降到474分，差異有統計學意義（P<0.05）；患者滿意度由80.20%提高到92.12%，差異有統計學意義（P<0.05）。結論 HFMEA模式的運用可以預見手術室護理工作中的失效環節，確定手術室安全重點改進目標，最終通過實施措施，確保手術室護理安全。
목적탐토의료실효모식화효과분석모식（Healthcare Failure Mode and Effect Analysis，HFMEA）재수술실호리안전관리중적응용효과。방법본원수술실2013년1월성립HFMEA관리소조，운용HFMEA모식평고수술환자수술과정중역발생실효적원인，조출극대해결적실효배절，진이분석정개조시병실시，이예방실효모식적재차발생。비교실시전후수술실호리불량사건발생정황、실효모식RPN치급환자만의도。결과응용HFMEA모식후，수술실각충호리불량사건발생정황균유명현하강；영향수술호리안전적실효모식RPN치유2104분하강도474분，차이유통계학의의（P<0.05）；환자만의도유80.20%제고도92.12%，차이유통계학의의（P<0.05）。결론 HFMEA모식적운용가이예견수술실호리공작중적실효배절，학정수술실안전중점개진목표，최종통과실시조시，학보수술실호리안전。
Objective To explore the application of Healthcare Failure Mode and Effect Analysis Using (HFMEA) Model in safety management of operation room and its effect.Methods We set up a HFMEA Model team in January 2013 which aimed at assessing causes of failure in the process of operation with the application of HFMEA Model and finding out corresponding methods to resolve these problems so as to take rectification measures to prevent the occurrence of failure mode. The incidence of adverse events of nursing in operation room, RPN of failure mode and patients' satisfaction rate before and after the application of HFMEA model were compared.Results After the application of HFMEA Model, the incidence of all kinds of adverse events of nursing in operation room reduced obviously. RPN of failure mode which influenced nursing safety of operation reduced from 2014 to 474 with statistically significant (P<0.05). Patients' satisfaction rate increased from 80.20% to 92.12% with statistically significant (P<0.05). Conclusion With the application of HFMEA Model, the failure of nursing in the process of operation can be predicted, the major target for improving safety of operation room can be determined and the nursing safety of operation can be ensured with the implementation of corresponding measures.
