[医学]失效模式与效应分析用于防范老年患者静脉输液风险.pdfVIP

·64 · J ournal of Nur sing Science 　Nov . 20 10 　Vol125 　No12 1( General Medicine) 失效模式与效应分析用于防范老年患者静脉输液风险 郭晓婵 ,徐永能 ,卢少萍 ,林文英 ,黄巧 摘要 : 目的 规范静脉输液操作流程 ,降低老年患者的输液风险 。方法 应用失效模式与效应分析对老年患者静脉输液进行风险评 ( ) 估 ,通过计算风险优先数 ,确定输液过程中的 6 个高风险因子 即失效模式 ,分别是三查七对不严密 、血肿或液体外渗 、静脉穿刺 处渗漏 、针头移位或滑脱 、滴速太快或太慢和皮下淤血 ,针对问题制定相应的改进措施 。结果 实施后三查七对不严密 、血肿或液 ( ) 体外渗 、静脉穿刺处渗漏 、针头移位或滑脱 、滴速太快或太慢和皮下淤血发生率显著低于实施前 均 P 0 . 0 1 。结论 实施失效模 式与效应分析可降低老年患者的静脉输液风险。 关键词 :老年患者 ; 　静脉输液 ; 　失效模式与效应分析 ; 　风险防范 中图分类号 :R472 ;C93 1. 2 　文献标识码 :A 　文章编号 :100 124 152 (20 10) 2 120064203 　DOI :10 . 3870/ hlxzz . 20 10 . 2 1. 064 Application of Failure Mode and Effect Analysis in prevention of inf usion2related risks in elderly patients ∥Guo X i aochan , X u ( Yong neng , L u S haop i ng , L i n Weny i ng , H uang Qi ao ∥ D ep a rtment of Ge ri at rics , Guang dong P rov i nci al Peop le ′s H osp i t al , Guang z hou 510080 , Chi na ) Abstract : Objective To st andar dize p rocess of int ravenou s infu sion , and to reduce infu sion2relat ed ri sk s in elderly p atient s. Methods Failure Mode and Effect Analy si s ( FM EA) wa s int ro duced to a ssess t he ri sk s of int ravenou s infu sion in elderly p atient s. By calcu2 lating t he ri sk p riorit y number , six high ri sk factor s (failure mo de) in infu sion p rocess were det ermined , including careless chec2 king , hematoma or ext rava sation , leakage of venop unct ure point , needle di splacement or slipping , inapp rop riat e infu sion sp eed , and subcut aneou s ecchymo si s. Count ermea sures were imp lement ed . Results The incidence rat es of t he above2mentioned 6 ri sk s sig2 nificantly decrea sed