[1]陈小燕,黄中伟.失效模式与效应分析法对护理差错事故防范的影响[J].西部中医药,2018,31(08):134-136.
　CHEN Xiaoyan,HUANG Zhongwei.Influence of Failure Mode and Effects Analysis on Preventing Nursing Mistakes and Accidents[J].Western Journal of Traditional Chinese Medicine,2018,31(08):134-136.
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失效模式与效应分析法对护理差错事故防范的影响()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年08期
页码:
134-136
栏目:
出版日期:
2018-08-15

文章信息/Info

Title:
Influence of Failure Mode and Effects Analysis on Preventing Nursing Mistakes and Accidents
文章编号:
1004-6852(2018)08-0134-03
作者:
陈小燕，黄中伟
南通大学附属医院急诊室，江苏 南通 226001
Author(s):
CHEN Xiaoyan, HUANG Zhongwei
Emergency Department, Affiliated Hospital of Nantong University, Nantong 226001, China
关键词:
护理差错事故; 失效模式; 效应分析; 防范效果
Keywords:
nursing practice errors;  failure mode;  effects analysis;  the prevention effects
分类号:
R472
文献标志码:
B
摘要:
目的：探讨失效模式与效应分析法(FMEA)对护理差错事故防范的效果。方法：对2012年1月至2015年4月期间我院护理差错事故进行汇总分析，其中2012年1月至2013年8月期间发生的护理差错事故为对照组(未实施FMEA管理)，2013年9月至2015年4月期间发生的护理差错事故为观察组(实施FMEA管理)，观察FMEA管理对护理差错事故防范的效果。结果：护理差错事故发生率对照组为0.283%(111/39 158)，观察组为0.097%(37/38 164)，2组比较差异有统计学意义( χ2=34.225，P＜0.01)；对照组护理差错事故的类别主要是错服、多服和漏服药，护理人员个人因素是主要原因；观察组护理差错事故类型主要为导管脱落，原因主要是习惯性定势。结论：实施FMEA管理可以大幅度降低护理差错事故的发生率，但仍然没有达到零护理差错事故的效果，需要针对发生护理差错事故的原因，对FMEA管理措施作出进一步改善。
Abstract:
Objective: To survey the effects of failure mode & effects analysis (FMEA) on the prevention of nursing practice errors. Methods: Nursing practice errorsin our hospital from January, 2012 to April, 2015 were collected and analyzed, among them, nursing practice errorshappened from January, 2012 to August, 2013 were chosen as the control group (FMEA management hasn′t been implemented), and the ones happened from September, 2013 to April, 2015 were selected as the observation group (implementing FMEA management), the effects of FMEA management on the prevention of nursing practice errorswere observed. Results: The incidence of nursing practice errorsin the control group was 0.283% (111/39 158), higher than 0.097% (37/38 164) of the observation group, and the difference had statistical meaning (χ2=34.225, P＜0.01); the categories of nursing practice errorsin the control group were mainly taking the medicine by mistake, taking more medicine and lack of the medicine, personal factors of the nurses were main reasons; the categories of nursing practice errorsin the observation group were catheter shedding, and the reason was habitual setting. Conclusion: Implementation FMEA management could decrease the incidence of nursing practice errorsto a great extent, but zero-mistakes effects still couldn′t been reached, the measures of FMEA management should be improved further by aiming at the reasons of making nursing practice errors.

相似文献/References:

[1]袁三英,马俊,杨松,等.失效模式与效应分析在普外科静脉输液流程构建中的应用[J].西部中医药,2018,31(05):115.
　YUAN Sanying,MA Jun,YANG Song,et al.Application of Failure Mode and Effects Analysis to the Construction of Intravenous Infusion Process in General Surgery[J].Western Journal of Traditional Chinese Medicine,2018,31(08):115.
[2]陈小燕,黄中伟.失效模式和效应分析模式对儿童急诊静脉留置针患者应用成效及安全性分析[J].西部中医药,2018,31(07):105.
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备注/Memo

备注/Memo:
收稿日期：2017-12-25 *基金项目：南通大学附属医院科技项目(编号Tfh1104)。 作者简介：陈小燕(1974—)，女，主管护师。研究方向：急诊护理。
更新日期/Last Update: 2018-08-15