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运用HFMEA优化无呕病房规范化管理流程

Using HFMEA to Optimize the Standardized Management Process of Vomit-free Ward

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目的 提高无呕病房规范化管理成效,降低肿瘤患者围化疗期恶心呕吐发生率.方法 应用医疗失效模式与效应分析(HFMEA)对无呕病房规范化管理流程中存在的风险点进行系统挖掘和分析,通过完善评估体系、全流程管理患者止吐用药、精准实施非药物止吐措施、丰富宣教模式及改进随访方式等,提高无呕病房管理成效.结果 患者预期性恶心呕吐发生率从10.1%降低至3.9%,恶心呕吐发生率从22.55%降低至13.8%,延迟性恶心呕吐发生率从18.6%降低至8.8%,舒适度评分从88分提升至97分.结论 应用HFMEA可优化无呕病房规范化管理流程,降低肿瘤患者化疗相关性恶心呕吐发生率,提高患者舒适度,改善患者就医体验.
Objective To improve the effectiveness of standardized management of vomit-free wards and reduce the incidence of nausea and vomiting in cancer patients during the peri-chemotherapy period.Methods The health-care failure mode and effect analysis(HFMEA)was used to systematically mine and analyze the risk points in the standardized management process of the non-vomiting ward.By improving the evaluation system,managing patients'medication throughout the process,accurately implementing non-drug antiemetic measures,enriching the education mode and improving follow-up methods,the management effectiveness of the non-vomiting ward was improved.Results The incidence of expected nausea and vomiting was reduced from 10.1%to 3.9%,the incidence of nausea and vomiting was reduced from 22.55%to 13.8%,the incidence of delayed nausea and vomiting was reduced from 18.6%to 8.8%,and the comfort score was increased from 88 to 97 points.Conclusion The application of HFMEA can op-timize the standardized management process of vomit-free wards,reduce the incidence of Chemotherapy-Induced Nau-sea and/or Vomiting in cancer patients,improve patients'comfort,and improve patients'medical experience.

Healthcare Failure Mode and Effect Analysis(HFMEA)Vomit-Free WardChemotherapy PatientsChemotherapy-Induced Nausea and/or Vomiting

王梦雪、王文慧、孙娟华、张红梅、王筱雯、罗家宁、张晓萌、惠娜、周晓燕

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空军军医大学第一附属医院 陕西 西安 710032

医疗失效模式与效应分析 无呕病房 化疗患者 化疗相关性恶心呕吐

空军军医大学临床研究课题

2021LC2212

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(10)