摘要
目的通过对糖尿病住院患者高血糖管理流程进行优化,规范医护人员行为,降低不良事件发生率。方法成立血糖管理项目小组,修订糖尿病住院患者高血糖管理流程,应用医疗失效模式与效应分析对流程步骤进行失效原因分析,制订并落实干预方案。结果实施流程干预方案后,高血糖汇报率从74.56%上升至77.98%,胰岛素注射执行率从91.12%提高至94.08%;护士理论知识达标率从56.25%上升至93.75%,胰岛素注射操作达标率从43.75%上升至93.75%;胰岛素注射相关不良事件发生率从7.31‰下降至1.90‰。上述指标比较,差异均有统计学意义(P<0.05)。结论应用医疗失效模式与效应分析可优化糖尿病住院患者高血糖管理流程,规范医护人员行为,显著降低胰岛素注射相关不良事件发生率。
Objective To optimize the process of hyperglycemia management in hospitalized diabetic patients,to standardize behaviors of medical staff and reduce the incidence of adverse events. Methods The team of hyper-glycemia management was established to reformulate flowchart of hyperglycemia management for diabetic patients, and to design and implement the intervention scheme by applying Healthcare Failure Mode and Effect Analysis （HFMEA）. Results After the application of HFMEA,the reporting rate of hyperglycemia was increased from 74.56% to 77.98%,the rate of insulin injection was increased from 91.12% to 94.08%;the qualification rate of the- oretical knowledge among nurses was increased from 56.25% to 93.75% ,the qualification rate of insulin injection practice was increased from 43.75% to 93.75%;the incidence of adverse events related to insulin injection was decreased from 7.31%v to 1.9%o. The differences were statistically significant （P〈0.05）. Conclusion Utilization of HFMEA to optimize the process of hyperglycemia management can effectively standardize behaviors of medical staff and reduce the incidence of adverse events associated with insulin injection.
出处
《中华护理杂志》
CSCD
北大核心
2018年第3期305-309,共5页
Chinese Journal of Nursing
基金
苏州市科技发展计划指导项目(SYSD2016098)
关键词
医疗失效模式与效应分析
糖尿病
高血糖症
胰岛素
Heahhcare Failure Mode and Effect Analysis
Diabetes Mellitus
Hyperglycemia
Insulin
