失效模式与效应分析在急诊危重患者转运流程再造中的应用

Application of failure mode and effect analysis in the reengineering of critically ill patients in emergency department

目的分析失效模式与效应分析(failure mode and effect analysis,FMEA)在急诊危重患者转运流程再造中的应用效果与价值。方法回顾性分析2017年1月至2018年12月期间徐州市中心医院急诊科转运的600例患者临床资料,将其中2017年1月至2017年12月期间予以传统方法转运的289例患者纳入对照组,将2018年1月至2018年12月期间在FMEA下予以优化转运的311例患者纳入观察组。对比2组转运时间、转运过程中不良事件发生情况及患者满意程度的差异。结果2组不良事件发生率对比差异有统计学意义,表现为观察组明显低于对照组(P<0.05);2组转运时间对比差异有统计学意义,表现为观察组明显短于对照组(P<0.05);2组患者满意率对比差异有统计学意义,表现为观察组明显高于对照组(P<0.05)。结论FMEA在急诊危重患者转运流程再造中的应用可有效预防不良事件发生,缩短院内转运时间,提高患者对护理服务的满意程度,临床推广应用价值显著。

Objective To analyze the application effect and value of failure mode and effect analysis(FMEA)in the reengineering of critically ill patients in emergency department.Methods A retrospective analysis was performed using clinical data from 600 patients who were transferred from Emergency Department,the Central Hospital of Xuzhou from January 2017 to December 2018.Then,289 patients who were transferred by traditional methods from January 2017 to December 2017 were included in the control group.Meanwhile,311 patients who were optimally transported under FMEA from January 2018 to December 2018 were included in the observation group.The differences in transit time,adverse events during transit,and patient satisfaction were compared between the two groups.Results The incidence of adverse events in the observation group was significantly lower than that in the control group(P<0.05),and the transit time in the observation group was significantly shorter than that in the control group(P<0.05).The patient satisfaction rate in the obseration group was significantly higher than that in the control group(P<0.05).Conclusions The application of failure mode and effect analysis in emergency critical patients transfer process reengineering can effectively prevent adverse events,shorten hospital transfer time,improve patients’satisfaction with nursing services,and has significant clinical application value.