失效模式与效应分析降低气管插管非计划拔管风险的应用效果

Study on the application effect of FMEA in reducing the risk of unplanned extubation of tracheal intubation

目的:探讨失效模式与效应分析(FMEA)预防气管插管非计划拔管(UEE)的效果。方法:选取2018年1月~2018年12月、2019年1月~2019年12月住院行气管插管的患者1048例,以前者578例行气管插管患者为对照组,实施气管插管常规护理方案;以后者行气管插管的470例患者为观察组,在常规护理的基础上实施基于FMEA理论分析UEE发生的失效模式构建的改善方案。比较两组失效模式RPN评分、UEE发生率的差异。结果:观察组RPN评分、UEE发生率低于对照组,差异有统计学意义(P<0.001、P<0.05)。结论:基于FMEA进行护理干预能够有效预防UEE发生率,保障患者安全,值得临床推广并应用。

Objective To explore the effect of failure mode and effect analysis(FMEA)in preventing unplanned extubation(UEE)of tracheal intubation.Method A total of 1048 patients who underwent tracheal intubation from January 2018 to December 2018 and from January 2019 to December 2019 were selected.578 patients who underwent endotracheal intubation were used as the control group to implement the routine care plan for clinical endotracheal intubation.470 patients who underwent tracheal intubation were taken as the observation group.On the basis of routine care,an improvement plan was constructed based on the FMEA theory to analyze the failure modes of UEE.The difference of the failure mode RPN score and the incidence of UEE between the two groups was compared.Results The RPN score and the incidence of air UEE in the observation group were lower than those in the control group(P<0.001,P<0.05).Conclusion Nursing intervention based on FMEA can effectively prevent the incidence of UEE and ensure patient safety.It is worthy of clinical promotion and application.