失效模式与效应分析理论对危重症孕产妇抢救成功率的影响

Influence of failure mode and effect analysis theory on success rate in rescue of critical pregnant and lying-in women

目的:探讨失效模式与效应分析(FMEA)理论在危重症孕产妇抢救中的应用效果。方法:选取2016年2~8月我院FMEA理论实施前收治的113例危重症孕产妇作为对照组;2016年9月~2017年2月我院FMEA理论实施后收治的危重症孕产妇113例作为观察组,对比两组孕产妇事先风险指数(RPN)、抢救成功率、抢救失败原因及护理满意度。结果:观察组孕产妇总RPN低于对照组(P<0.05);观察组孕产妇抢救成功率高于对照组(P<0.05);观察组孕产妇满意度优于对照组(P<0.05)。结论:危重症孕产妇护理中应用FMEA理论可发现潜在风险,优化护理流程,提高抢救成功率与孕产妇满意度。

Objective： To explore the effect of application of failure mode and effect analysis（ FMEA） theory in rescue of critical pregnant and lying-in women. Methods： Selected 113 cases of critical pregnant and lying-in women admitted to our hospital from February to August 2016 before implementation of FMEA theory and they were taken as control group; and selected 113 cases of critical pregnant and lying-in women admitted to our hospital from September 2016 to February 2017 after implementation of FMEA theory and they were taken as observation group. The two groups were compared in risk priority number（ RPN）,rescue success rate,cause of rescue failure,and nursing satisfaction. Results： The pregnant and lying-in women from the observation group had their total RPN lower than that of those from the control group（ P 〈 0. 05）; the observation group had a higher rescue success rate than the control group（ P 〈 0. 05）; and the pregnant and lying-in women from the observation group had a higher satisfaction than those from the control group（ P 〈 0. 05）. Conclusion： Through application of FMEA theory in the nursing of critical pregnant and lying-in women,it was able to discover the potential risks,optimize the nursing procedures,and improve the rescue success rate and the satisfaction of pregnant and lying-in women.