【摘要】 目的 探讨利用管理学工具标准化作业流程(standard operation procedure,SOP)SOP结合失效模式和效应分析(HFMEA),在提高医患沟通效率,降低医疗类安全(不良)事件发生的效果。方法 运用HFMEA对现行的医患沟通SOP进行失效分析,发现失效模式,并进行整改,再将重新修订后的医患沟通SOP运用于工作实际,观察医疗类不良事件的发生率是否有下降。结果 重新修订后的医患沟通SOP运用于工作实际,医疗类不良事件例数2018年42例,2019年40例,发生例数基本持平,但其中因医患沟通不畅发生的不良事件占比由2018年35.7%下降到2019年的12.5%,差异有统计学意义(P<0.05)。结论 通过课题研究,证明利用SOP结合HFMEA的方法能够提高医患沟通效率,降低不良事件的发生率。更多还原

【Abstract】 Objective To explore the effect of using management tools SOP combined with HFMEA to improve the efficiency of doctor-patient communication and reduce the occurrence of medical safety(adverse) events.Methods To Explore the use of management tools to standardize operating procedures(SOP) combined with failure mode and effect analysis(HFMEA) to improve the efficiency of doctor-patient communication and reduce the effect of medical safety(adverse)events.Results The revised doctor-patient communication SOP was applied to actual work.The number of medical adverse events was 42 in 2018 and 40 in 2019.The number of cases was basically the same,but adverse events due to poor doctorpatient communication dropped from 35.7% in 2018 to 12.5% in 2019,the difference was statistically significant(P<0.05).Conclusion Through subject research,it is proved that using SOP combined with HFMEA method can improve the efficiency of doctor-patient communication and reduce the incidence of adverse events.更多还原