基于FMEA理论的干预模式在重症颅脑损伤患者急诊入院流程的应用效果

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摘要目的探讨基于FMEA理论的干预模式在重症颅脑损伤患者急诊入院流程的应用效果。方法选择2019年1月—2020年12月我院收治的重型颅脑损伤患者359例,依据随机数字表法分为两组,实施常规入院模式期间急诊收治的176例患者为对照组;实施FMEA理论指导下入院干预期间收治的重型颅脑损伤患者183例为观察组。对比两组护理服务质量,并统计入院、救治、住院时间及风险优先指数(PRN)。结果观察组转运意外发生率为1.09%、护理差错发生率为0.55%,分别低于对照组的5.11%、5.11%,差异有统计学意义(χ2=4.883、5.321,P=0.027、0.009);观察组一次穿刺成功率为97.81%、护理满意度为98.36%,分别高于对照组的89.20%、93.75%,差异有统计学意义(χ2=11.091、5.089,P=0.001、0.024);观察组入院流程耗时为(26.51±3.52)min、急救时间为(10.91±1.49)min、住院时间为(20.88±7.72)d,分别短于对照组的(35.45±5.56)min、(12.14±4.90)min、(27.92±8.38)d,差异有统计学意义(t=17.912、3.161、8.154,P均<0.001)。实施基于FMEA理论干预的观察组各项PRN值均<100。结论基于FMEA理论的干预模式可改善重症颅脑损伤患者急诊入院流程,能够减少护理差错的发生,利于护理服务质量和患者满意度的提升。　

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	康珍
	张瑞

关键词 ：重症颅脑损伤, 失效模式与效应分析, 入院流程, 急诊, 护理服务质量

Abstract：Objective To explore the application effect of intervention model based on FMEA theory in emergency admission process of patients with severe craniocerebral injury. Methods 359 patients with severe craniocerebral injury admitted to our hospital from January 2019 to December 2020 were divided into two groups according to random number table method, and 176 patients admitted in emergency department during routine admission mode were taken as control group.183 patients with severe craniocerebral injury admitted to hospital under the guidance of FMEA theory were taken as observation group. The nursing service quality of the two groups was compared, and the admission, treatment, hospitalization time and risk priority index (PRN) were counted. Results The incidence of transport accidents and nursing errors in the observation group was 1.09% and 0.55%, which were lower than those in the control group (5.11% and 5.11%, respectively, with statistical significance (χ2=4.883 and 5.321,P=0.027、0.009); In the observation group, the success rate of one puncture was 97.81%, and the nursing satisfaction was 98.36%, which were higher than those in the control group (89.20%, 93.75%, respectively), and the difference was statistically significant (χ2=11.091,5.089,P=0.001,0.024). The admission time, first aid time and hospitalization time in observation group were (26.51±3.52)min, (10.91±1.49)min and (20.88±7.72) d, which were shorter than those in control group (35.45±5.56)min, (12.14±4.90) min and (12.14±4.90) min, respectively.All PRN values in FMEA observation group were<100. Conclusion The intervention model based on FMEA theory can improve the emergency admission process of patients with severe craniocerebral injury, reduce the occurrence of nursing errors, and promote the quality of nursing service and patient satisfaction.

Key words： Severe craniocerebral injury Failure mode and effect analysis Admission process Emergency department Quality of nursing service

收稿日期: 2021-02-18

ZTFLH:

R472

作者简介: 康珍(1990-),女,河南驻马店人,护师,本科学历,研究方向为急诊护理。

引用本文:

康珍,张瑞. 基于FMEA理论的干预模式在重症颅脑损伤患者急诊入院流程的应用效果[J]. 中国校医, 2022, 36(2): 133-136.
KANG Zhen, ZHANG Rui. Application effect of intervention model based on FMEA theory in emergency admission process of patients with severe craniocerebral injury. Chinese Journal of School Doctor, 2022, 36(2): 133-136.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2022/V36/I2/133

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