摘要
[目的]探讨医疗失效模式与效应分析对急诊科危重症病人院内转运不良事件及转运效果的影响。[方法]选择2018年12月—2019年10月急诊科需院内转运的危重症病人200例为研究对象,随机分为对照组与观察组各100例,对照组实施常规转运模式,观察组实施医疗失效模式与效应分析,比较两组病人不良事件发生率及转运效果。[结果]观察组病人不良事件发生率为5%,明显低于对照组的14%(P<0.05);观察组病人转运时间明显短于对照组(P<0.05);观察组病人及接收科室满意度均明显高于对照组(P<0.05)。[结论]医疗失效模式与效应分析在急诊科危重症病人院内转运中应用能减少不良事件的发生,有助于缩短转运时间,提升病人及接收科室满意度。
Objective:To investigate the effects of medical failure modes and effect analysis on adverse events and transport effects in hospitals for critically ill patients in emergency department.Methods:A total of 200 critically ill patients requiring in-hospital transport in emergency department from December 2018 to October 2019 were selected as study subjects,and randomly divided into control group and observation group,100 cases in each.The patients in control group underwent conventional transport mode,while the patients in observation group underwent medical failure mode and effect analysis,to compare the incidence of adverse events and transport effects of patients between the two groups.Results:The incidence of adverse events in the observation group was 5%,significantly lower than that in the control group(P<0.05).The transport time of patients in the observation group was significantly shorter than that in the control group(P<0.05).The satisfaction of patients and receiving departments in the observation group was significantly higher than that in the control group(P<0.05).Conclusions:The application of medical failure modes and effects analysis in the in-hospital transport of critically ill patients in emergency department can reduce the occurrence of adverse events,help to shorten the transport time,and improve the satisfaction of patients and receiving departments.
作者
张婧婷
欧阳鹏
郝晋忠
张伟芹
陆甘兰
褚豆
ZHANG Jingting;OU Yangpeng;HAO Jinzhong;ZHANG Weiqin;LU Ganlan;CHU Dou(Shenzhen Luohu Hospital of Traditional Chinese Medicine,Guangdong 518001 China)
出处
《全科护理》
2020年第29期3915-3919,共5页
Chinese General Practice Nursing
关键词
医疗失效模式与效应分析
急诊科
院内转运
不良事件
medical failure modes and effects analysis
emergency department
in-hospital transport
adverse events
