HFMEA在PICC门诊护理安全管理中的应用效果

Application effect of HFMEA in PICC outpatient nursing safety management

目的探讨医疗失效模式与效应分析(Health Failure Mode and Effect Analysis,HFMEA)在经外周静脉穿刺中心静脉置管(Peripherally Inserted Central Catheters,PICC)门诊护理安全管理中的应用效果.方法选取2017年1~6月在该院于门诊留置PICC的患者885例为观察组,另随机选取2016年6~12月于门诊留置PICC的患者800例为对照组.对照组患者给予常规PICC护理,观察组在此基础上实施HFMEA管理.比较两组患者PICC相关并发症的发生率.结果观察组的机械性静脉炎、导管堵塞、局部感染、导管移位发生率显著低于对照组,差异均有统计学意义(均P<0.05).两组患者的导管相关性血流感染、导管脱位发生率比较,差异均无统计学意义(均P>0.05).结论在PICC护理门诊实施HFMEA模式能显著降低PICC相关并发症的发生风险,安全管理效果令人满意.

Objective To explore the effect of Health Failure Mode and Effect Analysis(HFMEA)on outpatient nursing safety management of Peripherally Inserted Central Catheters(PICC).Methods A total of 885 patients with PICC in the outpatient department of this hospital from Januaiy to June 2017 were selected as the observation group.In addition,a total of 800 cases of PICC patients who were placed in outpatient detention from June to December 2016 were randomly selected as the control group.Patients in the control group were given routine PICC care,while HFMEA management was implemented in the observation group on this basis.The incidence of PICC-related complications was compared between the two groups.Results The incidence of mechanical phlebitis,catheter blockage,local infection,and catheter displacement in the observation group,were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of catheter related bloodstream infection and catheter dislocation were compared between the two groups,and the difference was not statistically significant(P>0.05).Conclusions Application of HFMEA model in PICC nursing clinic can significantly reduce the risk of PICC-related complications,and the safety man age me nt effect is satisfactoiy.