基于HFMEA优化胃肠肿瘤患者围手术期加速康复流程
Improvement of Perioperative Period Enhanced Recovery Process for Gastrointestinal Tumor Patients Based on HFMEA
毕婷婷 1曾艺鹏 1张汉 1张乐乐 1吴德俊 1李诗媛1
作者信息
摘要
目的 优化胃肠肿瘤患者围手术期加速康复流程,减少术后并发症,缩短住院时间.方法 对胃肠肿瘤患者加速康复流程进行危害与决策树分析,找到关键失效模式,并分析其根本原因,拟订针对性改善措施.结果 胃肠肿瘤患者各项临床康复指标均有明显改善,胃癌术后并发症发生率下降至0.00%,结直肠癌术后并发症发生率下降至11.11%,下肢血管超声筛查率提升至100%,围手术期功能锻炼落实率提升至92.31%,VTE预防措施落实率提升至97.16%,术后首次下床活动时间缩短至3.08 d.结论 HFMEA方法在胃肠肿瘤患者围手术期加速康复流程优化中具有显著效果.
Abstract
Objective To optimize the perioperative period enhanced recovery process of gastrointestinal tumor pa-tients,reduce postoperative complications and shorten the length of hospital stay.Methods Through the hazard and decision tree analysis of the enhanced recovery process for gastrointestinal tumor patients,the key failure modes were found,the root causes were analyzed,and the improvement countermeasures were proposed.Results There were sig-nificant improvement in the clinical rehabilitation indicators of gastrointestinal tumor patients.The incidence of postoper-ative complications of gastric cancer fell to 0.00%,and postoperative complications of colorectal cancer fell to 11.11%,the ultrasound screening rate of lower extremities increased to 100%,the implementation rate of perioperative period function exercise was promoted to 92.31%,the implementation rate of VTE preventive measures was increased to 97.16%,and the first postoperative activity time was shortened to 3.08 days.Conclusion The health failure mode and effect analysis(HFMEA)method has a significant effect on improving the perioperative accelerated rehabilitation process in patients with gastrointestinal tumor.
关键词
医疗失效模式与效应分析/胃肠肿瘤/围手术期/加速康复外科/流程优化Key words
Health Failure Mode and Effect Analysis(HFMEA)/Gastrointestinal Tumor/Perioperative Period/Enhanced Recovery after Surgery/Process Improvement引用本文复制引用
基金项目
上海市浦东医院学科建设计划项目资助(Zdzk2020-10)
上海市浦东医院学科建设计划项目资助(Tszb2023-01)
2022年度上海市浦东医院院级科研基金项目(护理类)(YJ2022-03)
浦东新区重要薄弱学科(PWZbr2022-20)
出版年
2024
NETL
NSTL
万方数据