关键词: 医疗失效模式与效应分析, 体外心肺复苏, 院内急救, 流程优化, 护理管理研究

Abstract:

Objective By optimizing the in-hospital process of extracorporeal cardiopulmonary resuscitation,the rescue time is shortened and the occurrence of adverse events is reduced. Methods In October 2018,our hospital established a medical failure mode and effect analysis management team. The healthcare failure mode and effect analysis model was applied to analyze the shortcomings of extracorporeal cardiopulmonary resuscitation emergency process,and the emergency process was optimized through literature reviews,expert discussions and consultations,so as to construct standardized extracorporeal cardiopulmonary resuscitation in-hospital emergency process and apply it to the clinic in January 2019. After 2 years of clinical application,we analyzed and compared the risk priority index before and after the optimization process,the time spent in each link and the occurrence of adverse events. Results After the optimization of the emergency process,the risk priority index dropped from（217.63±20.60） points to（102.73±39.95） points;the time spent in each link was shortened;the incidence of various adverse events decreased,and the differences were statistically significant（P<0.05）. Conclusion The application of healthcare failure mode and effect analysis to optimize the in-hospital emergency process of extracorporeal cardiopulmonary resuscitation can effectively improve the delay of first aid and reduce the occurrence of adverse events.

Key words: Healthcare Failure Mode and Effect Analysis, Extracroporeal Cardiopulmonary Resuscitation, In-Hospital Emergency, Process Optimization, Nursing Administration Research