文章摘要
马红艳.运用医疗失效模式与效应分析(HFMEA)改善我院住院患者用药安全流程[J].安徽医药,待发表.
运用医疗失效模式与效应分析(HFMEA)改善我院住院患者用药安全流程
投稿时间:2023-09-21  录用日期:2023-11-14
DOI:
中文关键词: 医疗失效模式分析  住院患者  用药安全  流程
英文关键词: 
基金项目:
作者单位地址
马红艳* 深圳市龙华区中心医院 深圳市龙华区中心医院
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中文摘要:
      摘要:目的 探究医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)在改善住院患者用药安全流程中的应用效果。方法 通过实施HFMEA中的选题、组队、绘制流程图、改善分析及效果评价5大核心步骤,依次采用失效点分析、头脑风暴、危害分析、决策树分析、拟定成效指标、实施改善行动及效果确认等方法,确认 HFMEA 实施后9项成效指标达标情况,并通过比较流程改善前后用药错误发生率评价实施效果。结果 HFMEA 实施后,9项成效指标均已达标,我院住院患者用药安全流程得到改善。各环节用药差错发生率明显降低,差异有统计学意义(P<0.05)。结论 运用HFMEA对我院住院患者用药各环节进行风险防范管理,可有效减少住院患者用药过程中差错发生率,进一步保障住院患者用药安全。
英文摘要:
      Abstract: Objective To explore the efficacy of Healthcare Failure Mode and Effect Analysis (HFMEA) in improving medication safety procedures for inpatients. Methods By implementing HFMEA's 5 steps of topic selection, team formation, flow chart drawing, improvement analysis and effect evaluation brainstorming,the methods of failure point analysis, brain storming, hazard analysis, decision tree analysis, development of performance indicators, implementation of improvement actions and effect confirmation are successively adopted?to confirm the 9 performance indicators after HFMEA implementation,and the effect was evaluated by comparing the incidence of medication errors before and after process improvement. Results After the implementation of HFMEA, all the 9 effectiveness indicators have reached the standard, and the inpatient medication safety process in our hospital has been improved, the incidence of medication errors in each link decreased significantly, the difference was statistically significant(P<0.05). Conclusions HFMEA is used for risk prevention and management of all links of inpatients' medication in our hospital, which can effectively reduce the incidence of medication errors in inpatients, and thus ensure the safety of medication in inpatients
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