摘要
目的:探讨医疗模式失效与效应分析(HFMEA)在产科新生儿预防接种中的应用效果。方法:选取2009年1～12月出生的1 000名新生儿为对照组,新生儿出生24 h内在爱婴区同时进行卡介苗和乙型肝炎疫苗接种;选取2010年1～12月出生的1 000名新生儿为实验组,应用HFMEA对新生儿预防接种流程进行风险管理,针对高危流程制定并实施有效的控制措施。观察比较两组新生儿出生24 h内乙型肝炎疫苗接种率、卡介苗接种不良反应发生率、卡介苗使用数量。结果:新生儿出生24 h内乙型肝炎疫苗接种率对照组95%,实验组100%;实验组卡介苗接种不良反应发生率低于对照组(P<0.05)。结论:应用HFMEA对新生儿预防接种流程进行风险管理,可降低卡介苗接种不良反应发生的风险,提升预防接种工作的安全性。
Objective：To explore the application effect of healthcare failure mode and effects analysis（HFMEA） in the vaccination for newborns in the department of obstetrics.Methods：1000 newborns（born from Jan.to Dec.2009） were taken as the control group,the newborns in this group were given vaccination of BCG and hepatitis B within 24 hours after birth in baby care unit;other 1000 newborns（born from Jan.to Dec.2010） were taken as the experimental group,HFMEA was used to carry out risk management for neonatal vaccination process and effective control measures were developed and implemented aiming at the high risks in the process of vaccination.The inoculation rate of vaccine hepatitis B in neonates,incidence of adverse reaction of BCG and the quantity of use-out BCG within 24 hours after birth were observed and compared between the two groups.Results：The inoculation rate of vaccine hepatitis B in neonates within 24 hours was 95% in the control group and 100% in the experimental group;the incidence of adverse reaction of BCG was lower in the experimental group than the control group（P0.05）.Conclusion：Application of HFMEA can reduce the incidence of adverse reaction of BCG and enhance the safety of vaccination.
出处
《齐鲁护理杂志》
2013年第5期9-11,共3页
Journal of Qilu Nursing
基金
深圳市科技信息局立项课题(201003452)
