摘要
目的：探讨应用失效模式与效应分析（FMEA）方法加强医院血液标本危急值管理的效果。方法根据FMEA方法，成立危急值管理小组，绘制标本检验、危急值产生流程图，对潜在的失效模式、失效原因及失效结果进行严重度、可能性、危机值分析，根据其结果制订并落实改进措施。结果失效模式危机值由FMEA实施前的1320分降至151分，下降率为88.56%；不合格血液标本数量由510例次下降为78例次，差异有统计学意义（χ2=407.27，P<0.05）；危急值处理缺陷由85例次下降为3例次，差异有统计学意义（χ2=91.26，P<0.05）。结论应用FMEA方法有助于提升临床血液标本检验危急值管理的正确性和精准性，从而保证患者的安全。
Objective To explore the effect of failure mode and effect analysis (FMEA) method in strengthening the management of critical value of blood specimens in hospital. Methods According to the procedures of FMEA, critical values management team were established, drew flow chart of generating test specimens and crisis value, explored the potential failure mode and failure cause, analyzed the severity, possibility and critical value, and formulate and implement countermeasures according to the research outcome. Results The crisis value of the failure mode fell from 1 320 to 151 after the implementation of FMEA, and rate of decline was 88.56%; number of unqualified blood samples decreased from 510 cases to 78 cases, and the difference is statistically significant (χ2=407.27, P<0.05);critical value processing defects decreased from 85 cases (a total of 236 cases) to 3 cases (a total of 229 cases), and the difference was statistically significant (χ2=91.26, P<0.05). Conclusions FMEA method is helpful to improve the accuracy and precision of critical value management of clinical blood samples, so as to ensure the safety of patients in hospitals.
出处
《中国实用护理杂志》
2016年第34期-,共4页
Chinese Journal of Practical Nursing
关键词
失效模式与效应分析
危急值管理
Failure mode and effect analysis
Critical value management
