摘要
目的 :针对新建三级医院的电子医嘱运行流程,运用失效模式与效应分析进行改善,减少医嘱执行过程中高风险因子,降低错误执行率,提高医疗服务品质。方法 :用HEMEA电子医嘱流程风险评分表评估电子医嘱运行情况,发现流程失效的高风险因素,分析失效原因,采取改善措施。结果 :改善后失效模式可能发生率较改善前明显降低(P≈0.00),改善后失效模式伤害指数较改善前明显降低(P≈0.00),高风险因素由改善前9项降为0项。结论 :失效模式与效应分析可明显改善新建三级医院电子医嘱运行流程,预防不良事件发生。
Objective： To improve the operation process of the computerized physician order entry through application of failure mode and effects analysis, which means decreasing high risk factors and mistakes during performance of medical orders and enhancing medical service quality. Methods： The mark sheet of electronic orders was used to assess electronic orders running situation, find high-risk factors, analyze failure reasons and adopt measures for improvement. Results： The incidence of failure modes was obviously reduced （ P≈0.00 ）after improvement. The damage indexes of failure mode were also obviously reduced （ P ≈ 0.00 ）. High risk factors decreased to zero from nine. Conclusion： Failure mode and effects analysis can obviously improve running process of the electronic orders of newly established tertiary hospitals to prevent adverse events.
出处
《中国卫生资源》
北大核心
2016年第1期35-38,共4页
Chinese Health Resources
关键词
失效模式
效应分析
电子医嘱
风险因子
failure mode
effects analysis
computerized physician order entry
risk factor
