实用临床医学2024,Vol.25Issue(4) :113-116.DOI:10.13764/j.cnki.lcsy.2024.04.027

HFMEA方法联合DMAIC流程管理在眼科手术室风险管理中的应用效果

Risk Management Practice and Effect of DMAIC Process Optimization Based on HFMEA Method in Ophthalmic Operating Room

吕晓宏 唐浪娟 吴利 魏婷 高云倩 刘苗苗
实用临床医学2024,Vol.25Issue(4) :113-116.DOI:10.13764/j.cnki.lcsy.2024.04.027

HFMEA方法联合DMAIC流程管理在眼科手术室风险管理中的应用效果

Risk Management Practice and Effect of DMAIC Process Optimization Based on HFMEA Method in Ophthalmic Operating Room

吕晓宏 1唐浪娟 2吴利 2魏婷 1高云倩 2刘苗苗2
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作者信息

  • 1. 南昌大学附属眼科医院 手术室,南昌 330006
  • 2. 南昌大学附属眼科医院 护理部,南昌 330006
  • 折叠

摘要

目的 探究医疗失效模式与效应分析(HFMEA)方法联合六西格玛流程管理(DMAIC)流程管理在眼科手术室风险管理中的应用效果.方法 采用便利抽样法选取2022年11月至2023年5月于南昌大学附属眼科医院的住院手术的患者200例,归为对照组,另选取2023年6月至11月住院手术的患者200例,归为研究组.对照组依照现行的常规流程进行手术管理,研究组实施HFMEA方法联合DMAIC流程管理的管理模式.比较2组手术不良事件发生率及患者对手术护理工作满意度.结果 研究组不良事件发生率为1.50%,显著低于对照组的7.00%(P<0.05);研究组患者对手术室护理和术前术后访视的满意度得分均显著高于对照组(P<0.001).结论 HFMEA方法结合DMAIC流程管理在眼科手术室中的实践能够显著改进手术室护理工作流程,增强风险识别与防范能力,提高患者满意度,并优化手术流程管理质量与效率.

Abstract

Objective To investigate the effectiveness of Healthcare Failure Mode and Effects Analysis(HFMEA)methodology combined with Six Sigma DMAIC procedure in reducing risk events in ophthalmic operating rooms.Methods 200 patients,who underwent inpatient surgery in the Affiliated Eye Hospital of Nanchang University from November 2022 to May 2023,were selected using the convenience sampling method and categorized as the control group,and 200 patients,who underwent inpatient surgery from June 2023 to November 2023,were categorized as the study group.In the control group,the current routine process was carried out with surgical management,whereas in the study group,the HFMEA method combined with DMAIC process management was implemented.The incidence of adverse events and patients'satisfaction with nursing were compared between the 2 groups.Results The incidence of adverse events in the study group(1.50%)was significantly lower than that in the control group(7.00%,P<0.05);patients'satisfaction scores in the study group were significantly higher than those in the control group on both surgical care in operating rooms and the preoperative and postoperative visits(P<0.001).Conclusions The HFMEA methodology combined with DMAIC procedure can significantly optimize nursing procedure,enhance risk identification and prevention,improve patients'satisfaction,and promote the quality and efficiency of surgical process management in ophthalmic operating rooms.

关键词

HFMEA方法/DMAIC流程管理/风险管理/眼科手术/手术护理

Key words

Healthcare Failure Mode and Effects Analysis methodology/DMAIC procedure/risk management/ophthalmic surgery:surgical care

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出版年

2024
实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
参考文献量8
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