基于FMEA方法的持续改进模式对降低动脉采血并发症的作用

目的:探讨基于医疗失效模式与效应分析(FMEA)方法的持续改进模式应用于临床管理中,降低动脉采血并发症的临床效果。方法:选取于本院进行动脉采血的住院患者120例作为研究对象,其中2014年8月~2015年8月于常规模式下行动脉采血的60例患者作为对照组,2015年8月~2016年8月于基于FMEA方法的持续改进模式下行动脉采血的60例患者作为观察组,临床操作均由我院50名护理人员实施。运用风险优先指数评分(RPN)对两组患者的风险系数进行评估,统计两组患者并发症发生率,同时对护理人员操作规范性情况以及采血规范考核评分进行评价。结果:观察组患者RPN评分显著高于对照组(P<0.05);并发症发生率明显低于对照组(P<0.05),观察组护理人员操作规范性以及考核评分均明显高于对照组(P<0.05)。结论:基于FMEA方法的持续改进模式应用于临床管理中,可有效降低动脉采血并发症的发生机率,减轻患者痛苦,提高护理质量。

Objective:To explore clinical effect of continuous improvement model based on failure mode and effect analysis(FMEA)method applied into clinical management to reduce arterial blood sampling complications.Methods:120 cases of hospitalized patients with arterial blood collection were selected as the study objects,and 60 cases of arterial blood collection in conventional mode from August 2014 to August 2015 were as the control group,and the other 60 cases of patients with continuous arterial blood sampling based on FMEA method from August 2015 to August 2016 were as the observation group.Results:RPN score in the observation group was significantly higher than that of the control group(P<0.05).The incidence of complications was significantly lower than that of the control group(P<0.05).Nursing staff operating standard and assessment score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Continuous improvement model based on FMEA method applied into clinical management.