失效模式与效应分析在恶性心律失常患者转运中的临床疗效观察

Clinical efficacy of failure mode and effect analysis in patients with malignant arrhythmia during transport

目的 探讨失效模式与效应分析(FMEA)在恶性心律失常患者转运中的临床应用效果。方法 选取2020年6月至2022年6月于解放军总医院京东医疗区收治的恶性心律失常患者60例为研究对象,随机分为对照组和实验组(每组各30例)。对照组采用常规转运方式,实验组采用失效模式与效应分析的转运方式。对比两组患者不良事件发生率和患者及接收科室的满意度。结果 实验组转运中不良事件发生率为10.0%,低于对照组的43.3%(P<0.05),患者和接收科室满意度高于对照组(P<0.05)。结论 应用失效模式与效应分析在恶性心律失常患者转运中可减少不良事件发生,降低转运风险,保障患者生命安全。

Objective To discuss the clinical efficacy of failure mode and effect analysis(FMEA) in patients with malignant arrhythmia during transport.Methods The patients with malignant arrhythmia(n=60) were chosen from Jingdong Medical Area of Chinese PLA General Hospital from June 2020 to June 2022,and all patients were randomly divided into control group and test group(each n=30).The control group was given routine transport method,and test group was given FMEA mode.The incidence rates of adverse events and degree of satisfaction of patients and receiving departments were compared between 2 groups.Results The incidence rates of adverse events were 10.0% in test group and 43.3% in control group(P<0.05),and degree of satisfaction of patients and receiving departments was higher in test group than that in control group(P<0.05).Conclusion The mode of FMEA can reduce the occurrence of adverse events and transport risk,and ensure patients' life safety.