基于失效模式与效应分析的综合医院住院患者自杀风险管理
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女,本科,护师

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国家自然科学基金项目(71673100);华中科技大学同济医学院附属协和医院2019药剂护专项基金项目(02.03.2018-134)


Suicide risk management for inpatients in general hospitals based on Failure Mode and Effect Analysis (FMEA)
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    摘要:

    目的 探讨失效模式与效应分析在综合医院预防住院患者自杀管理中的应用效果。方法成立跨专业的多学科小组,绘制预防住院患者自杀流程图,对预防患者自杀管理过程中可能出现的失效模式进行严重度、发生的可能性、探测的可能性评分,根据危害评分矩阵评估风险优先指数,针对风险优先指数>125分的5项失效模式进行改进。比较实施前后的风险优先指数和住院患者自杀发生率。结果实施后,住院患者自杀风险总体风险优先指数由(238.96±67.03)分下降为(73.48±6.05)分;住院患者自杀率由4.8/10万下降至2.1/10万。结论基于失效模式与效应分析的风险管理可有效降低综合医院住院患者自杀风险优先指数,可早期识别和干预有自杀倾向的住院患者,保障患者安全。

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    Objective To explore the effect of applying failure mode and effect analysis (FMEA) in the management of preventing inpatients from committing suicide in general hospitals. Methods Using FMEA management method,a multidisciplinary team (MDT) was set up, and the flow chart of inpatient suicide prevention was drawn. The possible failure modes in the process of suicide prevention management were scored in terms of severity, occurrence possibility and detection possibility. The risk priority number (RPN) was evaluated according to the hazard score matrix, and 5 failure modes with RPN>125 were targeted for quality improvement interventions. RPN value and suicide rate of inpatients before and after implement of FMEA were compared. Results The overall RPN of 5 failure modes decreased from (238.96±67.03) points to (73.48±6.05) points. The suicide rate of inpatients decreased from 4.8/100,000 to 2.1/100,000. Conclusion Risk management based on FMEA can effectively reduce RPN of suicide risk of inpatients in general hospitals, and can identify and intervene suicidal inpatients early on, thus effectively ensuring patient safety.

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鲁睿菲,胡德英,刘义兰,鲁才红,王峥嵘,丁小萍.基于失效模式与效应分析的综合医院住院患者自杀风险管理[J].护理学杂志,2022,27(14):64-67

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  • 收稿日期:2022-01-11
  • 最后修改日期:2022-04-25
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  • 在线发布日期: 2023-08-29