追踪方法学联合失效模式与效应分析在非内分泌科胰岛素泵质量管理中的应用

发布时间：2018-05-29 19:35

本文选题：追踪方法学 + 胰岛素　；参考：《中华护理杂志》2016年12期

【摘要】：目的通过追踪方法学联合失效模式与效应分析对非内分泌科胰岛素泵的使用和护理进行追踪监测,建立非内分泌科胰岛素泵的质量管理方法,并检验其应用效果。方法根据追踪方法学的理论基础,确定追踪路线以及考核内容,应用追踪方法学联合失效模式与效应分析对流程进行风险评估。制订具体改进措施,比较实施此质量体系前后风险优先指数(risk priority number,RPN)值、胰岛素泵护理质量指标合格率、患者满意度、年度不良事件发生次数。结果应用此体系进行非内分泌科胰岛素泵管理之后,RPN值显著下降(P0.01),胰岛素泵护理质量指标合格率以及患者满意度显著提高(P0.01),年度安全隐患次数由9次下降到2次。结论追踪方法学联合失效模式与效应分析的结合使用有利于非内分泌科胰岛素泵的护理管理。
[Abstract]:Objective to track and monitor the use and nursing of insulin pump in non-endocrine department by means of tracking methodology combined with failure mode and effect analysis, to establish the quality management method of insulin pump in non-endocrine department, and to test its application effect. Methods according to the theoretical basis of the tracking methodology, the tracking route and assessment contents were determined, and the risk assessment of the process was carried out by using the tracking methodology combined with failure mode and effect analysis. Specific improvement measures were made to compare the risk priority number and RPNs before and after the implementation of the quality system, the qualified rate of insulin pump nursing quality index, patient satisfaction, and the occurrence times of annual adverse events. Results after the insulin pump management in non-endocrine department, the RPN value decreased significantly (P 0.01), the qualified rate of insulin pump nursing quality index and patient satisfaction increased significantly (P 0.01), and the number of annual safety hidden trouble decreased from 9 times to 2 times. Conclusion the combined use of tracking methodology combined with failure mode and effect analysis is beneficial to the nursing management of insulin pump in non-endocrine department.
【作者单位】：华中科技大学同济医学院附属同济医院内分泌科;华中科技大学同济医学院附属同济医院护理部;
【分类号】：R473.5

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