护士主导的急性缺血性脑卒中患者血管再通流程的优化及效果评价

发布时间：2018-05-29 16:35

  本文选题：医疗失效模式与效应分析法 + 脑血管损伤　； 参考：《中华护理杂志》2017年04期

【摘要】：目的通过对急性缺血性脑卒中患者脑血管再通流程进行优化,缩短脑卒中患者院内治疗延误时间。方法成立多学科小组,构建急性缺血性脑卒中患者脑血管再通流程,应用医疗失效模式与效应分析法(healthcare failure mode and effect,HFMEA)对流程步骤进行失效分析,制订并实施管理方案。结果实施流程优化方案后,患者入院至溶栓用药时间(door to needle time,DNT)从88(42,140)min缩短至45(37,59)min(P0.001);DNT≤60 min的患者比例从20.0%上升至87.7%(P0.001);入院至动脉血管再通的时间从207(169,227)min缩短至165(155,185)min(P0.05);脑血管再通率从7.81%提高到13.64%(P0.05),实施前后患者症状性脑出血发生率及病死率的比较,差异无统计学意义(P0.05)。结论应用HFMEA优化急性缺血性脑卒中患者脑血管再通流程,可有效地减少院内治疗延误时间。
[Abstract]:Objective to optimize the procedure of cerebrovascular recanalization in patients with acute ischemic stroke and shorten the delay time of hospital treatment. Methods A multidisciplinary team was set up to construct the cerebrovascular recanalization process in patients with acute ischemic stroke. The failure analysis of the process was carried out by the method of Healthcare failure mode and effect failure mode and MEA, and the management scheme was worked out and implemented. Results after the implementation of the process optimization scheme, The time from admission to thrombolytic therapy was shortened from 88(42140)min to 45 ~ 37,59min, P0.001n and 鈮，

本文编号：1951622