摘要
目的探讨医疗失效模式与效应分析（healthcarefailuremodeandeffectanalysis．HFMEA）在新生儿卡介苗安全接种管理中的应用效果。方法选取2009年出生的1000名新生儿为对照组，按常规进行卡介苗接种；选取2010年出生的1000名新生儿为观察组，应用HFMEA对卡介苗接种进行管理，从接种流程中找出潜在失效模式、潜在失效原因与潜在失效后果，进行危害分析与决策树分析，对于需优先解决的问题制订并实施有效的控制措施。结果应用HFMEA管理后，卡介苗接种过程中风险顺序指数≥8分的高危流程经过实施控制措施后其风险顺序指数均≤6分，卡介苗接种不良反应发生率由0．6％降至0．0％（x^2=4．2，P〈0．05）。结论运用HFMEA对新生儿卡介苗接种进行管理，能降低卡介苗接种不良反应发生的风险，提高卡介苗接种工作的安全性。
Objective To explore the effect of the Healthcare Failure Mode and Effect Analysis （HFMEA） in the security management of newborn Bacillus Calmette-Guerin （BCG） vaccination. Methods One thousand neonates born in 2010 were selected as the experiment group who received the BCG vaccination under the management with the HFMEA. One thousand neonates born in 2009 were served as the control group who received routine BCG vaccination after birth. We performed the hazard analysis and decision making tree by making the effort to find the potential failure mode, reason and effect during the vaccination procedure and formulate and take the steps for top priority issue. Results After the application of the HFMEA into the management, the index of the risk priority number （RPN） ≥8 points in the high risk process could decrease to the average ≤6 points by means of controlled measures in the procedure of BCG vaccination. The incidence rate of adverse reaction for the BCG vaccination could decrease to 0.0% from 0.6% （ X^2 = 4.2, P 〈 0.05 ）. Conclusions We can reduce the risk of adverse reaction and promote the rate of safety in BCG vaccination by mean of the management of BCG vaccination procedure with the HFMEA.
出处
《中华现代护理杂志》
2012年第15期1746-1749,共4页
Chinese Journal of Modern Nursing
基金
基金项目：深圳市科技信息局课题[201003452]
关键词
卡介苗
接种
医疗失效模式与效应分析
BCG vaccine
Vaccination
Heahhcare failure mode and effect analysis（HFMEA）
