摘要
目的探讨失效模式与效应分析（FMEA）在降低手术患者术后留置病理标本管理失误发生率和有效控制标本送检质量中的应用。方法成立手术室FMEA团队，确立“降低术后留置病理标本管理失误发生率”为主题，依据流程分析、计算风险评估指数（RAC）和风险优先数（RPN）、评估结果、计划改善等程序，通过回溯过去6个月内所有术后病理标本管理失误的原因，制订相应的对策并组织实施，再进行效果检查。结果实施FMEA活动后的6个月，手术患者术后留置病理标本管理失误率从13．11％下降为0．00％。结论FMEA活动在降低手术患者术后留置病理标本管理失误的风险中效果显著，值得应用推广。
Objective To discuss failure mode and effects analysis （FMEA） in reducing the surgical patient＇ s postoperative indwelling pathologic specimens error rate and effective control of the specimen quality inspection application. Methods We established the FMEA team and set ＂reduce postoperative indwelling pathologic specimen error rate as the theme. According to the process of drawing, analysis, calculation of risk assessment code （RAC） and risk priority number （RPN）, evaluation the results, etc, we investigated all the postoperative indwelling pathologic specimen situations and analyzed the cause of error specimen lien. Then corresponding countermeasures were made and apptied. At last, we checked the effect. Results After the implementation of FMEA, the postoperative in＆aelling pathologic specimen error rate for the surgical patients decreased from 13.11% to 0. 00%. Conclusiov FMEA is very effective in reducing the surgical patient＇ s postoperative indwelling pathologic specimens risk and is worthy of generalizing.
出处
《中华现代护理杂志》
2014年第4期454-457,共4页
Chinese Journal of Modern Nursing
关键词
手术室
标本
失效模式与效应分析
Operating room
Specimen
Failure mode and effect analysis（FMEA）
