摘要
目的:运用"瑞士奶酪模型"理论,设置防御层面降低监护仪安全风险。方法:针对"瑞士奶酪模型"理论中引发监护仪事故发生的科室设备管理、安全监管隐患、安全隐患先兆和安全操作措施4个层面,从设备管理员的岗位设置与风险管理标准化,设备巡检与定期培训和考核,定期预防性维护、质量控制及操作指导,监护仪使用和故障处理4个方面入手,采取相应措施进行监护仪安全风险管理。结果:管理实施后2017年第一季度监护仪使用故障率为2.67%,比安全风险管理前降低5.9%。结论:使用"瑞士奶酪模型"理论建立的监护仪安全风险防御系统,可降低监护仪使用风险,提升患者安全,有效预防和减少监护仪相关异常事件发生。
Objective:To set defensive layers for reducing the risks of monitor security by using the theory of"Swiss cheese model".Methods:In view of the four aspects of"Swiss cheese model"theory,which included equipment management for department,hidden danger of supervision for safety,omen of hidden danger of safety and measurement of safety operation that cause the occurrence of monitor accident,the corresponding measures were adopted to implement risk management for safety of monitor from 4 aspects included post setting of the equipment manager and standardization of risk management,routing inspection of equipment and regular training and assessment,regularly preventive maintenance,quality control and operation guidance,and using and fault handling of monitors.Results:After the management method was carried out,the failure rate of monitor was 2.67%in the first quarter of 2017,and it was reduced by 5.9%compared with that before it was carried out.Conclusion:The defensive system that is established by using"Swiss cheese model"theory for risk of monitor safety can reduce the operation risk of monitor,and improve safety for patient,and effectively prevent and reduce the occurrences of relevant abnormal events of monitor.
作者
孔德友
盛况
楚婷
KONG De-you;SHENG Kuang;CHU Ting(Department of Medical Equipment,Affiliated Hospital of Jining Medical University,Jining 272029,China)
出处
《中国医学装备》
2019年第2期106-108,共3页
China Medical Equipment
关键词
瑞士奶酪模型
漏洞
监护仪
安全风险管理
Swiss cheese model
Loophole
Monitor
Risk management for safety
