现代医药卫生2025，Vol.41Issue(5)：1163-1167,1172,6.DOI:10.3969/j.issn.1009-5519.2025.05.024
医疗失效模式与效应分析在手术患者安全转运管理中的应用研究
Study on the application of healthcare failure mode and effect analysis in the safe transport management of surgical patients
陆叶青 1丁瑞芳 1侯越 1范凯达 1牛婷1
作者信息
- 1. 海军军医大学第一附属医院临床研究病房,上海 200433
- 折叠
摘要
Abstract
Objective To analyze the application effect of Healthcare Failure Mode and Effect Analysis(HFMEA)in the safe transportation management of surgical patients.Methods In June 2023,a HFMEA working group was established to select the theme,review the process,determine the failure modes in the transportation management of surgical patients according to the hazard scores,analyze and confirm the root cause,design and implement improvement plans.Results HFMEA was beneficial to improve the safe trans-portation of surgical patients.The satisfaction of the medical team(anesthesiologists,surgeons,operating room nurses and ward nurses)was significantly higher than before implementation,and the difference was statistically significant(P＜0.05).All kinds of transportation adverse events,including inadequate preopera-tive preparation,decreased from 1.07％(121/11 330)before implementation to 0.30％(34/11 409);transport equipment malfunctions decreased from 0.38％(43/11 330)before implementation to 0.18％(21/11 409);abnormal information transmission during transportation decreased from 1.21％(137/11 330)before imple-mentation to 0.56％(64/11 409);unclear handover of intraoperative supplies decreased from 0.98％(111/11 330)before implementation to 0.32％(37/11 409)before implementation;and the incidence of dislodged indwelling tubes decreased from 0.12％(14/11 330)before implementation to 0.04％(4/11 409).The total incidence of adverse events decreased from 3.76％(426/11 330)before implementation to 1.40％(160/11 409),and the differences were statistically significant(P＜0.05).Conclusion The application of HFMEA in the intervention and management of all aspects of the transfer of patients in the operating room effectively improves the safety factor of the transfer of surgical patients and further improves the quality of nursing safe-ty management in the operating room.关键词
医疗失效模式与效应分析/手术患者安全转运/手术室管理/护理质量Key words
Healthcare failure mode and effect analysis/Safe transportation of surgical patients/Operating room management/Nursing quality分类
医药卫生引用本文复制引用
陆叶青,丁瑞芳,侯越,范凯达,牛婷..医疗失效模式与效应分析在手术患者安全转运管理中的应用研究[J].现代医药卫生,2025,41(5):1163-1167,1172,6.
