中国药业2025，Vol.34Issue(21)：25-29,5.DOI:10.3969/j.issn.1006-4931.2025.21.006
FMEA和FMECA用于静脉用药调配中心肠外营养液安全管理效果评价
Effects of FMEA and FMECA in the Safety Management of Parenteral Nutrition in the PIVAS
摘要
Abstract
Objective To investigate the effectiveness of Failure Mode and Effects Analysis(FMEA)and Failure Mode,Effects and Criticality Analysis(FMECA)in the safety management of parenteral nutrition(PN)in the pharmacy intravenous admixture service(PIVAS).Methods FMEA and FMECA methods were used to establish themes,form teams,create processes,conduct failure mode and hazard analysis on the whole process of PN allocation in the PIVAS,and formulate and implement improvement measures for failure modes with risk priority number(RPN).The total number of PN orders,RPN values,and the incidence of errors before(January 1,2022 to October 31,2022)and after(from March 1,2023 to December 31,2023)FMEA and FMECA intervention were compared to evaluate the implementation effect.Results Before and after the intervention,the total number of PN orders were 2 703 items,and 3 089 items,respectively;the total RPN values for failure modes were 631 points,and 298 points,respectively,with a decrease of 52.77%;the total allocation errors were 2 212 and 1 076 items,respectively,with a decrease of 51.36%.Conclusion FMEA and FMECA can effectively improve the quality of PN allocation and reduce error rates in the risk management of the whole process of PN allocation in the PIVAS.关键词
失效模式与效应分析/失效模式、影响和危害性分析/静脉用药调配中心/肠外营养Key words
Failure Mode and Effects Analysis/Failure Mode,Effects,and Hazard Analysis/PIVAS/parenteral nutrition分类
医药卫生引用本文复制引用
洪术霞,袁海玲,徐丽婷,李红兵,武琼..FMEA和FMECA用于静脉用药调配中心肠外营养液安全管理效果评价[J].中国药业,2025,34(21):25-29,5.基金项目
西安国际医学中心医院院级课题[2020MS011]. （）
