摘要
目的应用医疗失效模式与效应分析(HFMEA)改进气管插管护理流程和制度,降低气管插管非计划性拔管率。方法应用HFMEA探讨上海交通大学医学院附属上海儿童医学中心心脏中心气管插管非计划性拔管的主要原因,改进气管插管的护理流程和制度。结果实施改进的气管插管护理流程和制度后,非计划性气管插管拔管率由2009年的0.188降低为2010年的0.113。结论应用HFMEA改进气管插管护理流程和制度,对医护人员进行非计划性拔管预防教育,可有效降低非计划性气管插管拔管率。
Objective To improve the nursing procedure of endotracheal intubation for control of unplanned extubation with healthcare failure mode and effect analysis(HFMEA).Methods HFMEA was adopted to explore the main causes for unplanned endotracheal extubation in Cardiac Center,Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine,and modified nursing procedure of endotracheal intubation was designed.Results After implementation of the modified nursing procedure,the unplanned endotracheal extubation rate decreased from 0.188 in 2009 to 0.113 in 2010.Conclusion Through improvement of nursing procedure of endotracheal intubation and education on medical staff on prevention of unplanned extubation with HFMEA,unplanned endotracheal extubation rate can be effectively controlled.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2011年第9期1355-1357,共3页
Journal of Shanghai Jiao tong University:Medical Science
关键词
医疗失效模式与效应分析
气管插管
非计划性拔管
healthcare failure mode and effect analysis
endotracheal intubation
unplanned extubation
