Application effects of HFMEA in prevention ICU unplanned extubation of tracheal intubation
QIU Hong1 ZHANG Jin-feng2 LIU Xiao-lan3 ZHU Hua-yong2 LUO Jun-ping2 LIU Yu-jie2
1.Department of Nursing，People′s Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China；
2.Quality Management Office，People′s Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China；
3.Severe Medical Science，People′s Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China
Abstract：Objective To explore the practice effects of using HFMEA in prevention ICU unplanned extubation of tracheal intubation.Methods 474 patients who unimplemented HFMEA intubation and greater than 24 h from January 2013 to December and 547 patients who implemented HFMEA intubation and greater than 24 h from January 2014 to December were selected.For ICU tracheal intubation unplanned extubation composition team，the operation process was analyzed and the flow chartwasmade to analyze the failuremode and cause of potential risk.The RPN and incidence rate before and after ICU unplanned extubation of tracheal intubation were compared.Results After conducting，the total RPN of ICU unplanned extubation of tracheal intubation was 2357.46，obvious lower than that was 3830.08 before conducting，and the difference was statistical significance（P＜0.05）.After conducting，the incidence rate of ICU unplanned extubation of tracheal intubation was 1.687%，obvious devreased than thatwas 0.365%before conducting，and the difference was statistical significance（χ2=4.577，P＜0.05）.Conclusion Using HFMEA can prevent the incidence of unplanned extubation of tracheal intubation effectively and decreasemedical risk.
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