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运用FMEA降低住院患者自杀风险的研究

Reducing the Suicide Risk of Inpatients by Using FMEA

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目的 识别住院患者自杀风险,针对性制定防范策略.方法 利用失效模式与效应分析(FMEA)从住院患者入院前、入院时、住院中 3 个环节厘清风险点并进行评价,计算风险系数,确定改进措施优先级.结果 针对 14个需要干预的风险点制订改进策略,执行后风险系数值明显下降.结论 应用FMEA可以降低住院患者自杀事件发生风险.还需进一步提高自杀风险识别能力,强化人文关怀,提升服务质量,以确保住院患者安全.
Objective To identify the suicide risk of inpatients and put forward preventive strategies.Methods Failure mode and effect analysis(FMEA)was used to clarify and evaluate the risk points from three aspects:before ad-mission,at admission and during hospitalization,calculate the risk coefficient,and determine the priority of improve-ment measures.Results The improvement measures were made for 14 risk points requiring intervention,and the risk coefficient decreased significantly after implementation.Conclusion The application of FMEA can reduce the risk of suicide in hospitalized patients.It is also necessary to further improve the ability to identify suicide risks,strengthen hu-manistic care,improve service quality,and ensure the safety of hospitalized patients.

Suicide RiskHospitalized PatientsAlarm EventsFailure Mode and Effect AnalysisPatient Safety

张圣宏、晏晨阳

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上海中医药大学附属龙华医院 上海 200032

自杀风险 住院患者 警讯事件 失效模式与效应分析 患者安全

上海龙华医院医疗质量持续改进专项上海龙华医院青年管理人才培养计划(第三批)

YW.005.024RC2020-04-08

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(5)
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