失效模式与效应分析在脊髓损伤并截瘫患者预防压疮护理中的.docVIP

失效模式与效应分析在脊髓损伤并截瘫患者预防压疮(广东省高州市人民医院骨外一科 广东 高州 525200) 【摘要】 目的 探讨失效模式与效应分析(failure mode and efiects analysis，FMEA)在脊髓损伤并截瘫患者压疮预防的FMEA小组，将2010年1～12月收治的48例脊髓损伤并截瘫患者随机分为观察组(24例)和对照组(24例)，对照组按照常规进行护理：观察组运用FMEA方法对脊髓损伤并截瘫可能发生压疮压疮压疮压疮患者压疮压疮Orthopedic Surgery,the Gaozhou Peoples Hospital,Guang dong Province 525200，China 【Abstract】Objective cases who were treated during January to December 2010,with spinal cord injury and paraplegia were divided into two groups ,observation group (24cases) and control group (24 cases). observation group use FMEA method for cases with spinal cord injury and paraplegia, possible failure modes of pressure sores causes and operational processes forward-looking analysis, evaluation, calculation.Find out four most high-risk procedures which will cause pressure sore,including admission assessments were impropered, basic care measures are not implemented, health education is not in place, the system did not comply with the core work degree,to develop priority action plan and preventive measures . Results The crisis of observed group was significantly lower than the control group(P0.05),0 case happened in observed group,ang 4 cases in control group, including admission assessments were impropered, basic care measures are not implemented, health education is not in place, the system did not comply with the core work degree. Conclusion Use FMEA methods for Patient with spinal cord injury and paraplegia to assess, analyze, and take relevant measures, can effectively prevent risks, reduce the incidence of pressure sores and improve the quality of care, promote patient recovery. 【Key words】Failure mode; Effectiveness analysis; Spinal cord injury ;Paraplegia; pressure sores 失效模式与效应分析(failure mode and effects analysis，FMEA)是一种前瞻性的管理模式，是在行动之前就认清问题并预防问题发生的分析。FMEA 由失效模式(failure mode，FM)和效应分析(effects analysis，EA)两部分组成。其中，失效模式是指能被观察到的错误或缺陷(俗称安全隐患)，应用于护理质量管理中就是指任何可能发生的护理不良事件；效应分析是指通过分析该失效模式对系统的安全和功能的影响程度，提出可以或可能采取的预防改造措施，以减少缺陷，提高质量[1]。脊髓损伤所致的截瘫患者