中国医学科学院学报2025，Vol.47Issue(4)：582-589,8.DOI:10.3881/j.issn.1000-503X.16410
基于医疗失效模式与效应分析优化神经外科患儿术后尿崩症管理流程的效果评价
Effect of Health Failure Mode and Effect Analysis in Optimizing the Management Process of Postoperative Diabetes Insipidus in Children Undergoing Neurosurgery
摘要
Abstract
Objective To investigate the effect of health failure mode and effect analysis(HFMEA)in optimizing the management process of postoperative diabetes insipidus in children undergoing neurosurgery.Methods Based on HFMEA,a management flowchart for postoperative diabetes insipidus in children undergo-ing neurosurgery was created.Brainstorming was adopted to identify failure modes in the workflow,analyze risk factors,and develop improvement measures,thereby refining the management flowchart.The amelioration and prognosis of diabetes insipidus in these children before(October 2022 to November 2023)and after(January 2024 to February 2025)implementation of the management flowchart were compared.Results The HFMEA-based management process for postoperative diabetes insipidus in children undergoing neurosurgery alleviated the symptoms of diabetes insipidus regarding the number of diabetes insipidus in the pediatric intensive care unit(P=0.006),the average daily urine output in the pediatric intensive care unit(P=0.001),the proportion of elec-trolyte abnormalities at discharge/transfer(P=0.037),the duration of mechanical ventilation(P=0.007),and the length of stay in the intensive care unit(P=0.001).Conclusion The HFMEA-based management process for postoperative diabetes insipidus in children undergoing neurosurgery is beneficial to the optimization of the management process,the alleviation of postoperative diabetes insipidus,and the improvement of prognosis in these children.关键词
医疗失效模式与效应分析/神经外科患儿/尿崩症/管理流程优化Key words
health failure mode and effect analysis/children undergoing neurosurgery/diabetes insipidus/management process optimization分类
医药卫生引用本文复制引用
赵会云,许笑影,吴博,唐诗,李昕蒙..基于医疗失效模式与效应分析优化神经外科患儿术后尿崩症管理流程的效果评价[J].中国医学科学院学报,2025,47(4):582-589,8.基金项目
上海交通大学医学院附属新华医院护理学科新苗人才计划(xhlxm005) （xhlxm005）
