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目的帮助医院明确剖宫产手术中的高风险环节及关键流程,切实做好产科安全管理。方法通过FMEA法与文献研究、头脑风暴、问卷调查及专家咨询相结合的方式,对剖宫产诊疗流程中的风险进行识别。结果共识别出剖宫产诊疗流程中10项高风险环节,即产后出血、知情同意效果不佳、会诊不及时、羊水栓塞、切口感染、尿路感染、会诊诊断及治疗错误、术前宣教效果不佳、麻醉失误、检查结果有误。结论 FMEA法是一项有效的医疗风险识别工具,能够前瞻性地检测出剖宫产高风险环节,并有针对性地实施干预。
Objectives To help hospitals identify the high-risk links and key procedures in cesarean section surgery and earnestly do obstetric safety management. Methods The risk of cesarean section diagnosis and treatment process was identified through the combination of FMEA and literature research, brainstorming, questionnaire and expert consultation. Results A total of 10 high-risk cesarean sections were identified, namely postpartum hemorrhage, poor informed consent, unsuccessful consultation, amniotic fluid embolism, incisional infection, urinary tract infection, consultation diagnosis and treatment errors, preoperative preaching Poor, anesthesia mistakes, check result is wrong. Conclusion The FMEA method is an effective medical risk identification tool, which can proactively detect the high risk of cesarean section and make targeted interventions.