[1]陈亚丹,吕丽敏,余玲,等.失效模式与效应分析在新冠疫情期间方舱患者出舱流程管理中的应用[J].军事护理,2023,40(01):98-101.[doi:10.3969/j.issn.2097-1826.2023.01.023]
　CHEN Yadan,LV Limin,YU Ling,et al.Application of Failure Mode and Effect Analysis in the Management of Patients' Discharge Process in the Medical Shelter[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(01):98-101.[doi:10.3969/j.issn.2097-1826.2023.01.023]
点击复制

失效模式与效应分析在新冠疫情期间方舱患者出舱流程管理中的应用
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年01期
页码:
98-101
栏目:
护理管理
出版日期:
2023-01-15

文章信息/Info

Title:
Application of Failure Mode and Effect Analysis in the Management of Patients' Discharge Process in the Medical Shelter
文章编号:
2097-1826(2023)01-0098-04
作者:
陈亚丹1; 吕丽敏2; 余玲3; 邓建玉4
(1.厦门大学附属第一医院 心内科,福建 厦门 364000; 2.厦门大学附属第一医院 新生儿科; 3.厦门大学附属第一医院 心脏外科; 4.厦门大学附属第一医院 护理部)
Author(s):
CHEN Yadan1; LV Limin2; YU Ling3; DENG Jianyu4
(1.Department of Cardiology,The First Affiliated Hospital of Xiamen University,Xiamen 364000,Fujian Province,China; 2.Department of Neonatal,The First Affiliated Hospital of Xiamen University; 3.Department of Cardio-surgery,The First Affiliated Hospital of Xiamen University; 4.Department of Nursing,The First Affiliated Hospital of Xiamen University)
关键词:
失效模式与效应分析;  方舱;  出舱;  流程管理
Keywords:
FMEA;  medical shelter;  discharge;  process management
分类号:
R47
DOI:
10.3969/j.issn.2097-1826.2023.01.023
文献标志码:
A
摘要:
目的 分析并改进新冠疫情期间方舱患者出舱流程,保证患者顺利出舱。方法 便利抽样选取2022年4月上海某方舱医院某区域178例患者为对照组、2022年5月同区域收治的134名患者为干预组,对出舱情况进行调查。采用失效模式与效应分析(failure mode and effect analysis,FMEA)方法梳理现有的患者出舱流程,分析失效模式及其潜在影响,找出主要的失效模式,进行原因分析,并从沟通环节、岗位设置等方面进行改进和优化,比较活动实施前后的干预效果。结果 通过FMEA活动共确定8项主要失效模式,活动后各项主要失效模式的优先风险数值(risk priority number,RPN)下降辐度达70.93%～96.60%,避免了出舱患者滞留的情况。结论 FMEA活动有效降低了方舱患者出舱的潜在风险,保障了患者的顺利出舱。
Abstract:
Objective To analyze and improve the patients' discharge process in the medical shelter to ensure the successful discharge of patients.Methods By convenience sampling method,178 patients in a specific sector in a medical shelter in Shanghai in April 2022 were selected as the control group,134 patients in the same area in May 2022 were selected as the intervention group.The failure mode and effect analysis(FMEA)method were used to sort out the existing patients' discharge process,analyze the failure mode and its potential impact,find out the main failure mode,conduct cause analysis,and optimize the communication link and position setting,and to compare the intervention effect before and after the implementation of the activity.Results Eight main failure modes were identified through FMEA activities,the risk priority number(RPN)of each main failure mode decreased by 70.93% to 96.60% after FMEA,and the retention of patients was avoided.Conclusions FMEA could effectively reduce the potential risk and ensure the smooth exit of patients in medical shelter.

参考文献/References:

[1] 简钢仁,郑若菲,叶诚栋,等.标准化作业程序在移动方舱医院全面快速展开的应用研究[J].中华灾害救援医学,2019,7(10):551-554.
[2] 喻姣花,孙晖,詹昱新,等.新型冠状病毒肺炎疫情防控中方舱医院的护理应急综合管理[J].护理学杂志,2020,35(9):1-3.
[3] 夏漫,刘义兰,詹昱新,等.方舱医院开舱紧急收治新型冠状病毒肺炎患者的护理管理[J].护理研究,2021,36(6):54-55,72.
[4] 危莉,胡豫,张义丹,等.新型冠状病毒肺炎疫情时期方舱医院运行实践与思考[J].中国医院管理,2022,40(3):62-64.
[5] 孙玉勤,彭丹,赵锦昌,等.基于失效模式与效应分析的手术患者术前交接流程管理[J].护理研究,2022,37(4):64-66,74.
[6] 袁海玲,韩文,李坤,等.失效模式与效应分析在住院患者药物医嘱流程风险管理中的应用与评价[J].中国医院药学杂志,2021,41(23):2490-2494.
[7] MANNE S,BADR H,AIDER T,et al.Cancer-related communication,relationship intimacy,and psychological distress among couples coping with localized prostate cancer [J].J Cancer Surviv,2010,4(1):74-85.
[8] 张金凤,吴湘玉,刘玉洁,等.应用FMEA降低消毒供应中心锐器伤风险[J].中国卫生质量管理,2017,24(6):42-45.
[9] MORA A,AYALA L,BIELZA R,et al.Improving safety in blood transfusion using failure mode and effect analysis[J].Transfusion,2019,59(2):516-523.
[10]LU Y,TENG F,ZHOU J,et al.Failure mode and effect analysis in blood transfusion:a proactive tool to reduce risks[J].Transfusion 2013,53:3080-3087.
[11]王汇,程岚,唐淑慧,等.失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用[J].军事护理,2022,39(9):25-28.
[12]JAIN K.Use of failure mode effect analysis(FMEA)to improve medication management process[J].Int J Health Care Qual Assur,2017,30:175-86.
[13]孙红,顾银燕,俞颖,等.患者参与患者安全管理的实施现状分析与对策[J].护理实践与研究,2022,19(6):937-939.
[14]张华宇,孙凯洁,梁志刚,等.信息化建设在医院绩效沟通中的作用[J].中国病案,2018,19(12):41-43.
[15]LAUGHER H.Changing the nursing handover[J].Bri J Nurs,2019,28(1):60-61.
[16]卞凌云,徐丽,刘琳琳,等.岗位导向型工作分析在病房护理岗位优化设计中的应用研究[J].当代护士:上旬刊,2017(1):168-169.

相似文献/References:

[1]张茜茜,孙妹,王春玲,等.失效模式与效应分析在预防减重手术患者压力性损伤中的应用及效果[J].军事护理,2021,38(02):37.[doi:10.3969/j.issn.1008-9993.2021.02.010]
　ZHANG Qianqian,SUN Mei,WANG Chunling,et al.Application and Effect of Failure Mode and Effect Analysis in Prevention of Stress Injury during Weight Loss Surgery[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):37.[doi:10.3969/j.issn.1008-9993.2021.02.010]
[2]王汇,程岚,唐淑慧,等.失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用[J].军事护理,2022,39(09):25.[doi:10.3969/j.issn.1008-9993.2022.09.007]
　WANG Hui,CHENG Lan,TANG Shuhui,et al.Application of Failure Mode and Effect Analysis in Reducing Enteral Nutrition-Related Diarrhea in ICU Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):25.[doi:10.3969/j.issn.1008-9993.2022.09.007]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-05-25 【 修回日期 】 2022-11-29
【 作者简介 】 陈亚丹,硕士,副主任护师,电话:0592-2139716
【 通信作者 】 邓建玉,电话:0592-2137292
更新日期/Last Update: 2023-01-15