应用HFMEA优化体外膜肺氧合患者管理流程
Optimization of Extracorporeal Membrane Oxygenation Patient Management Process by HFMEA
祁梦莹 1王冰寒 1刘宇亭 1蒙斯雅1
作者信息
- 1. 华中科技大学协和深圳医院(深圳市南山区人民医院) 广东 深圳 518052
- 折叠
摘要
目的 应用医疗失效模式与效应分析(HFMEA)优化体外膜肺氧合(ECMO)患者管理流程.方法成立多学科项目改善小组,梳理ECMO救治全流程,进行失效模式分析,计算风险指数,根据结果制订有效防范措施并实施.结果 ECMO患者救治成功率由 23.5%上升至52.2%,ECMO患者管理流程中潜在失效模式危害评分均明显下降.结论 应用HFMEA可以梳理ECMO患者管理流程中存在的问题,从而有效优化管理策略,提高患者生存率,确保患者安全.
Abstract
Objective To optimize the management process of extracorporeal membrane oxygenation(ECMO)pa-tients by using the healthcare failure mode and effect analysis(HFMEA).Methods A multidisciplinary project im-provement team was established,the whole ECMO treatment process was sorted out,failure mode analysis was carried out,risk index was calculated,and effective preventive measures were formulated and implemented according to the re-sults.Results The success rate of ECMO patients increased from 23.5%to 52.2%,and the potential failure mode hazard scores in the management process of ECMO patients decreased significantly.Conclusion The application of HFMEA can effectively optimize the management strategy and improve the survival rate of patients by analyzing the problems in the management process of ECMO patients.
关键词
医疗失效模式与效应分析(HFMEA)/体外膜肺氧合/全流程管理/患者安全Key words
Healthcare Failure Mode and Effect Analysis(HFMEA)/Extracorporeal Membrane Oxygenation/Whole-Process Management/Patient Safety引用本文复制引用
出版年
2024
NETL
NSTL
万方数据