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目的通过应用失效模式和效果分析(FMEA)管理,提高病区高危药品管理质量,保证患者用药安全。方法收集各病区高危药品管理中存在的问题,如未放置专柜、未按储存要求、高危药品无明显标识、无专人管理、药品有效期的管理不严格等。全院护士参与FMEA,实施12个月后评价高危药品管理质量和效果。结果实施12个月后,高危药品未按要求储存、未按规范放置、过期失效等问题明显改进,危险分值的计数(RPN),除未及时清点一项外,其他各项均比实施FMEA管理前显著降低(P<0.05)。高危药品管理缺陷从626件下降至46件。结论应用失效模式和效果分析管理,可有效提高病区高危药品管理质量,保证患者用药安全。
OBJECTIVE To improve the management of high-risk drugs in wards and ensure the safety of patients through the application of failure mode and effect analysis (FMEA) management. Methods The problems in the management of high-risk drugs in each ward were collected. For example, there was no special counter, no storage requirement, no obvious identification of high-risk drugs, no special management and no strict management of the effective period of drugs. Nurses throughout the hospital participated in FMEA and evaluated the quality and effectiveness of high-risk drug management 12 months after implementation. Results After 12 months of implementation, the high-risk drugs were not stored as required and were not stored according to the regulations. The problems of overdue failure and other problems were significantly improved. The scores of risk scores (RPN) were all higher than those of FMEA Management decreased significantly (P <0.05). High-risk drug management defects fell from 626 to 46. Conclusion The application of failure mode and effect analysis and management can effectively improve the quality of ward drug administration and ensure the safety of patients.