摘要
目的 探究失效模式与效应分析（FMEA）在急诊输液室及注射室中的应用价值。方法 2015年4月,笔者所在医院开展FMEA失效模式理论及操作培训,随机抽取培训前（2014年4月~2015年3月）急诊输液室和注射室接待的112例患者归为对照组,培训后（2015年4月~2016年1月）120例患者归为观察组。回顾性分析施行FMEA模式改造前后投诉情况、患者护理满意度、失效模式RPN值变化、患者等候时间变化。结果 观察组输液室及注射室失效模式RPN值明显较对照组低,患者平均等候时间由对照组的（23.50±3.24）min缩短到（11.23±2.95）min;观察组输液投诉率（7.14%）较对照组（0.83%）低;观察组护理满意率（90.83%）较对照组的79.46%高。P均〈0.05。结论 FMEA模式应用在急诊输液室和注射室中具有以下作用：（1）有利于改善急诊输液室和注射室操作流程,从而提高工作效率,缩短患者等候时间;（2）排查潜在风险因素,提高护理人员责任心,减少操作遗漏和错误,提高整体质量;（3）创造良好的候诊环境,提高良好护理质量,从而减少患者投诉,提高护理满意度。
Objective To explore the application value of failure mode and effect analysis （FMEA） in emergency transfusion room and injection room. Methods In April 2015, FMEA failure mode theory and operation training were progressed in author’s hospital. 112 cases of patients received in emergency transfusion room and injection room before training （from April 2014 to March 2015） were randomly selected as control group, and 120 cases of patients after training （from April 2015 to January 2016） were selected as observation group. Complaints, patients care satisfaction, failure mode RPN value change, and patients waiting time change before and after the transformation of FMEA mode were retrospectively analyzed. Results RPN value of failure mode in transfusion room and injection room of observation group was significantly lower than that of control group, and average waiting time of control group （23.50＆#177;3.24） min was reduced to （11.23 ＆#177;2.95） min. Infusion complaints rate of observation group 7.14%, which was lower than that of control group with 0.83%.Nursing satisfaction rate of observation group was 90.83%, which was higher than that of control group with 79.46%,P 〈 0.05. Conclusion The FMEA model has the following functions in emergency transfusion room and injection room：（1）It is beneficial to improve the operation process of emergency transfusion room and injection room, so as to improve the work efficiency and shorten the waiting time of patients.（2） It can troubleshoot potential risk factors, improve the responsibility of nursing staff, reduce the operation of omissions and errors, improve the overall quality.（3）It can create a good waiting environment,improve the good quality of care, reduce patient complaints, improve nursing satisfaction.
出处
《中国医药科学》
2016年第17期130-132,共3页
China Medicine And Pharmacy
关键词
输液室
注射室
失效模式与效应分析
护理满意度
Transfusion room
Injection room
Failure mode and effect analysis
Nursing satisfaction
