摘要
目的探讨医疗失效模式与效果分析(HFMEA)在减少静脉用药调配中心(PIVAS)成品核对差错中的应用效果。方法根据HFMEA的工作流程,选取在静脉用药调配过程中易出现错误的环节(成品核对),成立评估小组,创建相应的流程图,分析流程中的失效模式及原因,寻找并执行改进方案,并比较HFMEA实施前后PIVAS成品核对环节差错数量差异。结果对PIVAS实施HFMEA管理后,成品核对各环节出错率均明显下降(P<0.05)。结论应用HFMEA可细化PIVAS工作流程,减少操作差错为临床用药提供了安全保障。
Objective To discuss the healthcare failure mode and effect analysis（HFMEA） in reducing the error rate of finished transfusions produced by pharmacy intravenous admixture services（PIVAS）.Methods According to the process of healthcare failure mode and effect analysis,the link which was the most prone to error（Finished Transfusion Check） was chosen.Then the assessment team was founded,the process map of each link was drawn to analyze the failure mode and failure cause and then to search the solutions and carry them out.At last,the error rates of the finished transfusions check before and after applying HFMEA were compared.Results After applying HFMEA to the management of PIVAS,the error rate of finished transfusions check was decreased obviously（P〈0.05）.Conclusion HFMEA could refine the working process of PIVAS /decrease the error rate,and provide safety assurance for the clinical usage of drugs.
出处
《中国药业》
CAS
2016年第4期107-109,共3页
China Pharmaceuticals
基金
黑龙江省教育厅科学技术研究项目
项目编号:12541566
