摘要
目的探讨医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)模式在儿科门诊留观输液室患儿静脉输液治疗中的应用及其对预防静脉输液渗漏的价值。方法选取2021年1月至2021年12月于温州市中西医结合医院儿科门诊留观输液室进行静脉输液治疗的3680例患儿开展回顾性分析,按照就诊时间,2021年1月至6月HFMEA干预前的患儿为对照组(n=1835),2021年7月至12月HFMEA干预后的患儿为研究组(n=1845)。对比开展HFMEA前后的患儿失效模式风险优先指数(risk priority number,RPN)评分、统计开展HFMEA前后的患儿静脉输液渗漏发生率和家属投诉率,并对患儿家属进行护理满意度调查。结果开展HFMEA模式后,儿童静脉输液渗漏主要影响因素RPN评分均低于开展前,差异均有统计学意义(P<0.05);开展HFMEA模式后,患儿静脉输液渗漏率(1.68%)、家属投诉率(0)分别低于开展前(2.67%、0.33%),而家属护理满意度(89.27%)则高于开展前(86.54%),差异均有统计学意义(P<0.05)。结论HFMEA模式干预在儿科门诊留观输液室护理管理中,能够有效降低儿童静脉输液渗漏发生风险,继而减少患者家属投诉情况,家属认可度更高。
Objective To investigate the application of healthcare failure mode and effect analysis(HFMEA)in intravenous infusion therapy in pediatric outpatient infusion room and its value in preventing intravenous infusion leakage.Methods A retrospective analysis was conducted on 3680 children who received intravenous infusion in the observation transfusion room of the pediatric outpatient department from January 2021 to December 2021.The children before the HFMEA intervention from January to June 2021 were the control group(n=1835)and those after the HFMEA model intervention from July to December 2021 were divided into the study group(n=1845).The risk priority number(RPN)scores of failure modes before and after HFMEA were compared,the incidence of venous infusion leakage and the complaint rate of family members before and after HFMEA were analyzed,and the nursing satisfaction of family members was investigated.Results The RPN scores of the main influencing factors of venous leakage in children were lower after HFMEA mode than before,and the differences were statistically significant(P<0.05).After HFMEA mode was carried out at the same time,the leakage rate of intravenous infusion(1.68%)and the complaint rate of family members(0)were lower than those before HFMEA mode(2.67%and 0.33%),while the nursing satisfaction rate of family members(89.27%)was higher than that before HFMEA mode(86.54%),the differences were statistically significant(P<0.05).Conclusion HFMEA mode intervention can effectively reduce the risk of intravenous infusion leakage in children in the nursing management of infusion room in pediatric outpatient clinic,and then reduce the complaints of patients'family members,with higher recognition from family members.
作者
陈文洁
林常春
王爱娇
郑燕燕
CHEN Wenjie;LIN Changchun;WANG Aijiao;ZHENG Yanyan(Department of Infusion Room,Wenzhou Integrated Traditional Chinese and Western Medicine Hospital,Zhejiang,Wenzhou 325000,China)
出处
《中国现代医生》
2022年第32期46-50,共5页
China Modern Doctor
基金
温州市科技计划项目(Y20180398)。
关键词
医学失效模式与效应分析
儿科门诊留观输液室
静脉输液
渗漏
满意度
Healthcare failure mode and effect analysis
Pediatric outpatient infusion room for observation
Intravenous infusion
Leakage
Satisfaction
