在儿科和青少年医院护理中使用故障模式和效果分析方法-一个范围审查
Aino Färlin-Helin1,2, Sakari Suominen1,2, Outi Tuominen1,2
1University of Turku.
Journal of patient safety
|April 14, 2025
概括
失效模式和效应分析 (FMEA) 方法有效地识别了儿科护理中可预防的患者安全风险. 这些工具有助于优先考虑改进,并提高员工对潜在危险的认识.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 儿科的风险管理
背景情况:
- 在医疗保健中,不良事件 (AE) 是常见的,许多是可以预防的.
- 故障模式和效果分析 (FMEA) 是一项经过验证的工具,可以提高患者的安全性和质量.
- 本综述侧重于儿童和青少年医院环境中的FMEA,FMECA和HFMEA应用.
研究的目的:
- 提供使用FMEA,FMECA和HFMEA在儿科和青少年医院护理中的研究概述.
- 评估这些风险分析方法在识别和减轻患者安全风险方面的应用和有效性.
主要方法:
- 在主要数据库 (Web of Science,Scopus,PubMed等) 进行系统的文献搜索. 从1999年开始.
- 基于已建立的故障模式和效应分析 (FMEA) 过程步骤,分析包含的论文.
- 包括报告FMEA,故障模式和关键性分析 (FMECA) 和医疗保健故障模式和影响分析 (HFMEA) 的研究.
主要成果:
- 审查了18篇论文,评估了21个医疗保健过程,主要与药物相关.
- 风险评估涉及不同职业群体,确定风险优先次数因严重程度,发生和检测而异.
- 确定了大量的高风险区域 (220个),但改进行动没有得到一致的记录.
结论:
- FMEA,FMECA和HFMEA有效地确保了儿童和青少年医院护理中的患者安全.
- 这些方法成功地识别了医疗保健过程中的潜在故障,从而实现了有针对性的质量改善和风险降低.
- 使用风险分析方法可以提高医疗保健工作者对潜在安全风险的认识.
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