|
|
Effect of failure mode and effect analysis mode on the recovery complications of general anesthesia |
YUAN Fang-ping LI Xiao-wei |
Department of anesthesiology, the 73rd Army Hospital of the Chinese People′s Liberation Army, Fujian Province, Xiamen 361000, China |
|
|
Abstract Objective To explore the influence of failure mode and effect analysis (FMEA) mode on the complications of general anesthesia during resuscitation.Methods A total of 200 patients with general anesthesia who were observed in the anesthesia resuscitation room of the Anesthesiology Department of the 73rd Army Hospital of the Chinese People′s Liberation Army from June to December in 2019 were selected as the research objects.According to the random number table method, they were divided into observation group and control group with 100 cases in each group.The patients in the control group were treated with routine nursing, while the patients in the observation group were treated with FMEA nursing mode.The incidence of abnormal blood pressure, pipeline shedding, irritability, delayed recovery,abnormal heart rate, complications and patient satisfaction were compared between the two groups after nursing.Results The total incidence of abnormal blood pressure, tube shedding, irritability, delayed recovery, abnormal heart rate and total complications rate in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05); the entrance assessment, resuscitation monitoring, exit assessment, and transfer and handover satisfaction ratings of the observation group were higher than those of the control group, the differences were statistically significant (P<0.05).Conclusion The FMEA nursing model can effectively reduce the incidence of complications in patients undergoing general anesthesia resuscitation, reduce the occurrence of risk events, and improve the satisfaction rate of patients, which is worthy of clinical application.
|
|
|
|
|
[1] |
李凯,熊娟,聂辉,等.麻醉复苏室转出准备度评估指标的构建[J].护理研究,2019,33(17),2956-2959.
|
[2] |
陆雪飞.预见性护理应用于麻醉复苏期患者管理中的作用探究[J].中国急救医学,2018,38(z1):339.
|
[3] |
肖志勇,李祥.老年患者术后麻醉复苏期呼吸道预见性护理[J].中国老年学杂志,2016,36(13):3237-3238.
|
[4] |
周燕,胡玉琴,陈娟丽,等.体位干预在老年胸腔镜术后全麻气管导管拔除后复苏的影响[J].护士进修杂志,2018,33(13):1230-1232.
|
[5] |
罗小平,牟江涛,李斌飞,等.麻醉恢复室全麻复苏患者清醒前导尿管拔除方案的制订及应用效果评价[J].中华护理杂志,2018,53(12):1468-1472.
|
[6] |
罗艳,姚尚龙,杨拔贤,等.中国麻醉医师在全身麻醉中七氟醚使用习惯的多中心研究[J].临床麻醉学杂志,2016,32(1):6-9.
|
[7] |
Babiker A,Amer YS,Osman ME,et al.Failure Mode and Effect Analysis(FMEA)may enhance implementation of clinical practice guidelines:An experience from the Middle East[J].J Eval Clin Pract,2018,24(1):206-211.
|
[8] |
刘春香,韦涌初,汪莉,等.失效模式和效应分析联合APACHEⅡ评分在ICU 护理安全管理中的应用及效果评价[J].护士进修杂志,2018,33(8):685-687.
|
[11] |
王莉梅,王雪莹,夏恪迪.基于失效模式与效应分析法的临床药学服务风险研究[J].中国医院管理,2016,36(9):63-65.
|
[12] |
闫佳.失效模式与效应分析在我国医院质量管理中的应用[J].中国经贸导刊,2016,25(32):46-47.
|
[13] |
钱静,顾银燕.基于快速康复外科理念的骨科全麻术后患者麻醉复苏期护理[J].护理学杂志,2017,32(22):33-34.
|
[9] |
Rah J,Manger RP,Yock AD,et al.A comparison of two prospective risk analysis methods:Traditional FMEA and a modified healthcare FMEA[J].Med Phys,2016,43(12):6347-6353.
|
[10] |
Lee YC,Kim Y,Huynh JW,et al.Failure modes and effects analysis for ocular brachytherapy[J].Brachytherapy,2017,16(6):1265-1279.
|
[14] |
归纯漪,孙梅.失效模式与效应分析在我国手术室护理风险管理中的应用[J].中国卫生资源,2016,32(1):30-34.
|
[15] |
李学文,国鹏,孟令伶,等.失效模式与效应分析法在护理安全管理中的应用[J].中国医院管理,2016,36(12):83-85.
|
[16] |
黄媛,张穗,王婷,等.失效模式与效应分析在麻醉恢复室患者安全转运前的应用[J].中国实用护理杂志,2017,33(8):608-611.
|
|
|
|