失效模式及效应分析联合PDCA循环管理在肝胆外科护理管理中的应用

Application of failure mode effect analysis and PDCA circulation in nursing management of hepatobiliary surgery department

目的探讨失效模式及效应分析(FMEA)联合PDCA循环管理在肝胆外科护理中的应用效果。方法例肝胆手术患者按入院顺序分为对照组和实验组,各110例。对照组常规护理,实验组在对照组基础上利用FM EA联合PDCA循环模式管理。观察2组基础护理合格率、护理投诉情况、护理差错发生率及护理满意度。结果实验组基础护理合格率99.8%高于对照组的80.0%(P<0.01)。实验组护理投诉率和护理差错事件发生率均低于对照组(P<0.01)。结论 FMEA联合PDCA的管理模式能够有效避免肝胆外科手术患者不良事件的发生,促进护理质量持续改进。

Objective To investigate the failure mode effect analysis（ FMEA） combined with PDCA circulation in hepatobiliary surgical nursing. Methods A total of 220 patients undergoing hepatobiliary surgery were assigned to the control group and the study group,with 110 cases in each group. Both two groups received routine nursing care,and nursing management based on FMEA combined with PDCA circulation was carried out in the study group additionally. Results The quality rate of basic nursing measure was 99. 8% in the study group and was 80.0% in the control group（ P〈0.01）. The complaint rate and nursing errors rate were lower in the study group than those in the control group（P〈0.01）. Conclusion nursing management based on FMEA combined with PDCA circulation is an effective way of reducing risk of nursing adverse events in patients undergoing hepatobiliary and support the continuous quality improvement.