论文部分内容阅读
目的:控制给药差错对病人造成的医疗伤害,提高用药安全,保障医疗质量。方法:利用故障模式和影响分析(Failure Mode and Effect Analysis,FMEA)实施,计算风险优先指数(Risk Priority Number,RPN)值,根据RPN值大小,确定给药环节改进措施。结果:通过制定纠正和预防措施,跟踪控制措施,再次计算RPN值,较改进前减小,用药安全性提高。结论:FMEA以较低成本实现重点质量事件的改进,达到用药系统整体可靠性提高。
OBJECTIVE: To control the medical injury caused by medication errors to patients, improve the safety of medication and ensure the quality of medical treatment. Methods: The failure mode and effect analysis (FMEA) was used to calculate the Risk Priority Number (RPN) value. According to the value of RPN, the improvement measures of drug delivery were determined. Results: By developing corrective and preventive measures and tracking control measures, the RPN value was calculated again, which was lower than before the improvement and the medication safety was improved. Conclusion: FMEA achieves the improvement of key quality events at a lower cost and achieves the improvement of overall reliability of the medication system.