FMEA联合PDCA管理循环模式在提高蛋白尿标本合格率中的应用

Application of FMEA Combined with PDCA Management Cycle Model in Improving the Qualification Rate of Collecting Proteinuria Samples

目的探讨失效模式与效应分析(FMEA)联合PDCA循环管理模式在提高24h蛋白尿标本合格率中的应用效果。方法选择我院2021年3~8月的留取24h蛋白尿标本的患者128例为对照组,选择2021年9月至2022年2月留取24h蛋白尿标本的患者128例为观察组。对照组采用常规方法采集尿液,观察组采取FMEA联合PDCA循环管理模式进行采集。比较两组风险优先指数(RPN值)变化、留取成功率、标本留取合格率与护理满意度。结果观察组中患者标本采集过程中RPN值较对照组显著下降(P<0.05),留取成功率显著高于对照组(P<0.05),标本留取合格率优于对照组(P<0.05),对护理满意度更高(P<0.05)。结论运用FMEA联合PDCA循环管理模式,有助于提高采集24h蛋白尿标本的合格率,增加留取标本成功率、提高患者对护理的满意度。

Objective To explore the application effect of failure mode and effect analysis(FMEA)combined with PDCA cycle management mode to improve the qualification rate of collecting 24-hour proteinuria samples.Methods 128 patients with 24-hour proteinuria samples collected from our hospital from March 2021 to August 2021 were randomly selected as the control group,and 128 patients with 24-hour proteinuria samples collected from September 2021 to February 2022 were selected as the observation group.The control group received routine 24-hour proteinuria specimen collection methods,while the observation group received FMEA combined with PDCA cycle management.Compare the changes in the Risk Priority Index(RPN),patient retention success rate,specimen retention qualification rate,and nursing satisfaction between two groups of patients.Results The RPN values of patients in the observation group were significantly lower than those in the control group(P<0.05).The success rate of retention in the observation group was significantly higher than that in the control group(P<0.05).The qualified rate of specimen retention in the observation group was higher than that in the control group(P<0.05).The observation group had higher satisfaction with nursing care(P<0.05).Conclusion The application of FMEA combined with PDCA cycle management mode can help improve the qualification rate of collecting 24-hour proteinuria samples,increase the patient retention success rate,and enhance patient satisfaction.