失效模式及效应分析在预防老年髋部骨折患者肺部感染中的应用

Application of health care failure mode and effects analysis to prevent pulmonary infection in old patients with hip fracture

目的：探讨HFMEA在老年髋部骨折患者肺部感染预防中的应用。方法：将2011年7月～2013年6月125例年龄≥60岁且未发生肺部感染的老年髋部骨折患者随机分为对照组59例和观察组66例,对照组给予常规骨科护理;观察组在常规护理的基础上运用HFMEA对老年髋部骨折患者可能发生肺部感染的失效模式进行前瞻性的分析、评估,找出最高危因素,制定防范的优先行动计划,不断改进并实施。结果：观察组发生老年髋部骨折患者肺部感染率低于对照组,差异具有统计学意义（P〈0.05）。结论：应用HFMEA能有效预防老年髋部骨折患者肺部感染的发生。

Objective： To study application of health care failure mode and effects analysis（ HFMEA） to prevention of pulmonary infection in old patients with hip fracture. Methods： Between January and December 2012,125 older than or equal to 60 years old patients with hip fracture who without pulmonary infection were divided to observation group（ n = 66） and control group（ n = 59）. Based on routine nursing（ control group）,we applied HFMEA to analyse and evaluate prospectively on possible pulmonary infection of old patients with hip fracture,then worked out prior action plan of prevention and not only improved continuously but also carried it out. Results： The incidence of respiratory complications in observation group was lower than in control group（ P〈0. 05）. Conclusion： It is effective to prevent pulmonary infection in old patients with hip fracture by application of HFMEA.