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目的探讨将失效模式与效应分析应用于术后患者安全转运风险管理的效果。方法成立失效模式与效应分析工作小组,绘制工作流程图,识别术后患者转运过程中可能出现的失效模式,分析原因,根据高风险因素制定和实施相应的整改措施。结果实施工作改进后,各项失效模式危急值均下降,改造前后比较,差异均有统计学意义(P<0.05)。结论应用失效模式与效应分析的方法前瞻地发现术后患者转运流程中潜在的风险,进行流程改造,有效地降低了术后患者转运过程中的风险,保障患者的安全。
Objective To explore the effect of applying failure mode and effect analysis to the risk management of safe transit of patients after surgery. Methods The working group of failure mode and effect analysis was set up to draw the working flow chart to identify possible failure modes during the postoperative patients’ transportation. The causes were analyzed and corresponding rectification measures were formulated and implemented according to the high risk factors. Results After the implementation of the work improved, the critical value of various failure modes decreased, compared with before and after transformation, the differences were statistically significant (P <0.05). Conclusion The application of failure mode and effect analysis method to find out the potential risks in the postoperative patients transport process, to transform the process, effectively reducing the risk of postoperative patients during transport, to protect the safety of patients.