【摘要】 目的:探讨失效模式与效应分析(FMEA)在脑卒中住院患者护理风险管理中的应用效果。方法:选择2012年1~10月神经内科住院的脑卒中患者103例为对照组,按照神经内科护理常规进行护理;选择2013年1~10月神经内科住院的脑卒中患者106例为观察组,除执行神经内科护理常规外,应用FMEA对脑卒中患者住院期间常发生的不安全事件(护理风险)主要原因进行分析,选择其中失效模式优先风险数值(RPN)的5个失效模式,并对其影响因素进行分析,同时制定改善措施并落实。比较观察组实施FMEA管理模式前后RPN值、两组护理工作满意度、护理风险发生率。结果:观察组改善措施实施后失效模式的RPN低于实施前(P<0.05),护理工作满意度高于对照组(P<0.05),护理风险发生率低于对照组(P<0.05)。结论:应用FMEA护理管理模式能降低脑卒中住院患者不安全事件的发生率,提高患者对护理工作的满意度。更多还原

【Abstract】 Objective: To study the effect of failure mode and effect analysis( FMEA) in nursing risk management of hospitalized patients with cerebral apoplexy. Methods: From January 2012 to October 103 patients as control group,carried out in accordance with the neurology care routine nursing. Chose January- October 2013 106 cases of patients with cerebral apoplexy as the observation group,they were received FMEA,the main reason was analyzed,including failure mode was preferred risk selection number( RPN) of five failure mode,and its influence factors were analyzed,and at the same time develop improvement measures and implementation. Comparated observation group RPN values before and after the implementation of FMEA management mode,two groups of nurses job satisfaction,the incidence of nursing risk. Results: Observation group to improve the measures after implementation failure mode of RPN was lower than the control group( P < 0. 05),nursing job satisfaction was higher than the control group( P < 0. 05),the incidence of nursing risk was lower than the control group( P < 0. 05). Conclusion: The application of FMEA nursing management mode can reduce the incidence of stroke inpatients unsafe events,improve patients satisfaction of nursing work.更多还原