摘要
目的探讨应用失效模式与效应分析降低气管插管非计划拔管发生率的效果.方法：运用失效模式与效应分析（FMEA）,寻找非计划把关中潜在的失效模式,从失效模式发生的可能性、被发现的可能性、失效的严重性等三个维度进行评估,计算优先风险指数;风险优先排列,优化流程,进行前瞻性干预,比较实施前后非计划拔管的发生率.结果：两组比较差异有统计学意义（χ2=4.723,P=0.030）.结论：应用FMEA能有效地降低气管插管非计划拔管发生率.
ObjectiveTo discuss the application effect of FMEA in reduction of unpl- anned extubation of endotracheal tube.Methods：FMEA was applied to find out the failure mode of unplanned extubation of endotracheal tube,and then assessed it from three dimensions,which were the likelihood of occurrence,the possibility of being discovered,and the seriousness of the failure,and then calculated the RPN values,risk priority,and plan optimization process,at the last made a proactive beh- avior intervention.The incidence of unplanned extubation was compared between two gr- oups.Results：There was statistically significant difference in unplanned extubation between two groups（χ2=4.723,P=0.030））.Conclusions：Application of FMEA can reducethe rate of Un- planned extubation of Endotracheal tube.
出处
《世界中医药》
CAS
2015年第A02期839-841,共3页
World Chinese Medicine
基金
本文为四川省卫生厅2013年科研立项课题,编号：130510.
关键词
失效模式与效应分析
气管插管
非计划拔管
风险管理
Failure mode and effect analysis
Endotracheal tube
Unplanned extubation
risk management
