HFMEA模式在手术室安全管理中的应用

Application of HFMEA Model in Safety Management of Operation Room

目的探讨医疗失效模式和效果分析模式(Healthcare Failure Mode and Effect Analysis,HFMEA)在手术室护理安全管理中的应用效果。方法本院手术室2013年1月成立HFMEA管理小组,运用HFMEA模式评估手术患者手术过程中易发生失效的原因,找出亟待解决的失效环节,进而分析整改措施并实施,以预防失效模式的再次发生。比较实施前后手术室护理不良事件发生情况、失效模式RPN值及患者满意度。结果应用HFMEA模式后,手术室各种护理不良事件发生情况均有明显下降;影响手术护理安全的失效模式RPN值由2104分下降到474分,差异有统计学意义(P<0.05);患者满意度由80.20%提高到92.12%,差异有统计学意义(P<0.05)。结论 HFMEA模式的运用可以预见手术室护理工作中的失效环节。

Objective To explore the application of Healthcare Failure Mode and Effect Analysis Using （HFMEA） Model in safety management of operation room and its effect.Methods We set up a HFMEA Model team in January 2013 which aimed at assessing causes of failure in the process of operation with the application of HFMEA Model and finding out corresponding methods to resolve these problems so as to take rectification measures to prevent the occurrence of failure mode. The incidence of adverse events of nursing in operation room, RPN of failure mode and patients＇ satisfaction rate before and after the application of HFMEA model were compared.Results After the application of HFMEA Model, the incidence of all kinds of adverse events of nursing in operation room reduced obviously. RPN of failure mode which influenced nursing safety of operation reduced from 2014 to 474 with statistically significant （P〈0.05）. Patients＇ satisfaction rate increased from 80.20% to 92.12% with statistically significant （P〈0.05）. Conclusion With the application of HFMEA Model, the failure of nursing in the process of operation can be predicted, the major target for improving safety of operation room can be determined and the nursing safety of operation can be ensured with the implementation of corresponding measures.