运用HFMEA优化无呕病房规范化管理流程

Using HFMEA to Optimize the Standardized Management Process of Vomit-free Ward

目的提高无呕病房规范化管理成效,降低肿瘤患者围化疗期恶心呕吐发生率。方法应用医疗失效模式与效应分析(HFMEA)对无呕病房规范化管理流程中存在的风险点进行系统挖掘和分析,通过完善评估体系、全流程管理患者止吐用药、精准实施非药物止吐措施、丰富宣教模式及改进随访方式等,提高无呕病房管理成效。结果患者预期性恶心呕吐发生率从10.1%降低至3.9%,恶心呕吐发生率从22.55%降低至13.8%,延迟性恶心呕吐发生率从18.6%降低至8.8%,舒适度评分从88分提升至97分。结论应用HFMEA可优化无呕病房规范化管理流程,降低肿瘤患者化疗相关性恶心呕吐发生率,提高患者舒适度,改善患者就医体验。

Objective To improve the effectiveness of standardized management of vomit-free wards and reduce the incidence of nausea and vomiting in cancer patients during the peri-chemotherapy period.Methods The healthcare failure mode and effect analysis(HFMEA)was used to systematically mine and analyze the risk points in the standardized management process of the non-vomiting ward.By improving the evaluation system,managing patients'medication throughout the process,accurately implementing non-drug antiemetic measures,enriching the education mode and improving follow-up methods,the management effectiveness of the non-vomiting ward was improved.Results The incidence of expected nausea and vomiting was reduced from 10.1%to 3.9%,the incidence of nausea and vomiting was reduced from 22.55%to 13.8%,the incidence of delayed nausea and vomiting was reduced from 18.6%to 8.8%,and the comfort score was increased from 88 to 97 points.Conclusion The application of HFMEA can optimize the standardized management process of vomit-free wards,reduce the incidence of Chemotherapy-Induced Nausea and/or Vomiting in cancer patients,improve patients'comfort,and improve patients'medical experience.