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对医疗风险事件做好防范工作能够有效提高医疗安全、减少医疗资源浪费。近年来,美国研究应用前瞻性质量分析工具故障模式影响分析(FMEA)来有效降低医疗风险,取得了显著成效。其他国家如意大利、澳大利亚也有少量研究,而国内尚未见这一领域研究的文献报道。作者介绍了FMEA在美国医疗风险管理中的应用及理论研究,列举了其在降低给药风险及保障医院软、硬件设备安全使用等方面的应用案例,提出了应用FMEA应注意的向题,以期引起国内医院管理部门的关注。
Preventing medical risk events can effectively improve medical safety and reduce waste of medical resources. In recent years, the United States has researched and applied the forward-looking quality analysis tool Failure Mode Impact Analysis (FMEA) to effectively reduce medical risks and achieved remarkable results. Other countries, such as Italy and Australia, also have a small amount of research, and domestic literature in this field has not yet been reported. The author introduces the application and theoretical research of FMEA in medical risk management in the United States, enumerates its application cases in reducing the risk of drug administration and ensuring the safe use of hospital hardware and software equipment, etc., and proposes the problems that should be paid attention to when applying FMEA. Aroused the attention of the domestic hospital management department.