Application effect of healthcare failure mode and effect analysis combined with root cause analysis in risk management of deep venous thrombosis after gynecological pelvic surgery
Application effect of healthcare failure mode and effect analysis combined with root cause analysis in risk management of deep venous thrombosis after gynecological pelvic surgery
Objective To explore the application effect of healthcare failure mode and effect analysis(HFMEA)combined with root cause analysis(RCA)in the risk management of deep venous thrombosis(DVT)after gynecological pelvic surgery.Methods Sixty patients undergoing gynecological pelvic surgery admitted in our hospital from August 2019 to December 2021 were selected for study.According to the time of admission,the patients were divided into control group(August 2019 to August 2020)and observation group(September 2020 to December 2021),with 30 cases in each group.The control group received RCA management on the basis of routine management,and the observation group received HFMEA management on the basis of the control group.The management effects of the two groups were compared.Results After management,the scores of each dimension of nursing quality of nurses in the observation group were higher than those in the control group(P＜0.05).The total incidence of complications,incidence of DVT and total incidence of risk events in the observation group were lower than those in the control group(P＜0.05).The nursing satisfaction scores of doctors to nurses and patients to nurses in the observation group were higher than those in the control group(P＜0.05).Conclusion The HFMEA combined with RCA applied in gynecological pelvic surgery can not only improve the quality of nursing,reduce the occurrence of complications,DVT and risk events,but also help to improve the nursing satisfaction of doctors to nurses and patients to nurses,which is worth promoting.
关键词
医疗失效模式与效应分析/根本原因分析/妇科盆腔手术/深静脉血栓
Key words
healthcare failure mode and effect analysis/root cause analysis/gynecological pelvic surge ry/deep venous thrombosis
维普
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