医疗失效模式与效应分析在住院患者压力性损伤质量管理中的应用研究.pdfVIP

58ChineseJournalofMedicalManagementSciences,Mar.2024,Vol.14No.2

中国医疗管理科学2024年3月第14卷第2期

医疗安全

医疗失效模式与效应分析在住院患者压力性损伤

质量管理中的应用研究

莫晓微侯梦楠刘赞焦凌梅

【摘要】目的探讨医疗失效模式与效应分析（healthcarefailuremodeandeffectanalysis,HFMEA）在住院患者压力性损伤质

量管理中的应用，以期降低院内压力性损伤事件的发生风险，预防住院患者并发症，提高护理质量。方法成立HFMEA小组，

采用头脑风暴法对住院患者发生压力性损伤的相关因素进行分析并计算风险优先指数，针对评分较高的失效模式制定措施，实

施护理质量持续改进措施后对效果进行评价，以改进和完善压力性损伤管理流程。结果经HFMEA模式管理并采取相应措施

后，住院患者压力性损伤发生率由0.018%下降至0.008%，各季度压力性损伤管理质量符合率亦逐步上升。结论HFMEA的应

用能有效提高住院患者压力性损伤的风险评估水平，有效降低住院患者压力性损伤的发生率。

【关键词】医疗风险；医疗失效模式与效应分析；压力性损伤；住院患者；质量管理

【中图分类号】R197.3

Applicationofhealthcarefailuremodeandeffectanalysisinqualitymanagementforpressureinjuryinhospitalizedpatients

MoXiaowei,HouMengnan,LiuZan,JiaoLingmei.InternationalNursingSchool,HainanMedicalCollege,Haikou570310,Hainan

Province,China(MoXiaowei,HouMengnan,JiaoLingmei);HainanMedicalCollegeAffliatedSecondHospital(LiuZan)

Correspondingauthor:LiuZan,Email163.com

[Abstract)ObjectiveToinvestigatetheapplicationofhealthcarefailuremodeandeffectanalysis(HFMEA)inthequality

managementforpressureinjuryininpatients,withanattempttoreducetheriskofpressureinjuryevents,preventcomplications,and

improvethequalityofnursingduringhospitalstay.MethodsAnHFMEAteamwasestablished.Factorsrelatedtopressureinjury

ininpatientswereexploredbybrainstorming,andtheriskprioritynumberswerecalculated.Forfailuremodeswithhighscores,

continuousnursingqualityimprovementmeasureswereimplementedandassessedtooptimizethepressureinjurymanagementprocess.

ResultsAftertheHFMEAmodewasappliedandcorrespondingmeasuresweretaken,theincidenceofpressureinjuryininpatients

decreasedfrom0.018%to0.008%,andthequalitycompliancerateofpressureinjurymanagementincreasedgraduallyineachquarter.

ConclusionTheapplic