基于医疗失效模式与效应分析在连台手术护理风险管理的应用
Application of Healthcare Failure Mode and Effect Analys in Nursing Risk Management for Consecutive Operations
DOI: 10.12677/acm.2026.161197, PDF,   
作者: 韩 威, 李鹏鑫：南华大学护理学院，湖南 衡阳；胡小萍*：南华大学附属南华医院护理部，湖南 衡阳
关键词: 医疗失效模式与效应分析；连台手术；护理风险；RPN；Healthcare Failure Mode and Effect Analysis； Consecutive Operations； Nursing Risks； RPN
摘要: 目的：在连台手术护理风险管理的实践中引入医疗失效模式与效应分析(Healthcare failure mode and effect analysis, HFMEA)以达到降低护理不良事件发生概率的目标。方法：运用便利抽样方法，从本院手术室2025年1月至6月期间开展的连台手术中选取488例作为研究样本，将1至3月期间的244例连台手术归为对照组，接受常规连台手术护理操作流程，4至6月期间的244例连台手术作为试验组，在对照组基础上接受HFMEA管理模式。比较两组HFMEA应用情况。结果：试验组连台手术护理不良事件(压力性损伤、术中低体温、器械清洗不规范等)的发生率相较于对照组更低，差异具有统计学意义(P < 0.05)，试验组连台手术开台时间(不包含首台手术时间)明显短于对照组(P < 0.05)；试验组失效风险指数(Risk Priorty Number, RPN)低于对照组(P < 0.05)。结论：将HFMEA管理模式引入连台手术护理风险管理，有利于持续优化护理流程，切实规避潜在护理风险。
Abstract: Objective: To introduce Healthcare Failure Mode and Effect Analysis (HFMEA) into the nursing risk management of consecutive operations, aiming to reduce adverse nursing events. Methods: Using convenience sampling, 488 consecutive surgeries performed in our hospital’s operating room from January to June 2025 were selected as study samples. The first three months (January-March) included 244 consecutive surgeries in the control group receiving standard nursing procedures, while the fourth to sixth months (April-June) included 244 surgeries in the experimental group receiving HFMEA management. Results: The experimental group showed significantly lower incidence of adverse nursing events (including pressure ulcers, intraoperative hypothermia, and improper instrument cleaning) compared to the control group (P < 0.05). Additionally, the experimental group’s operating time (excluding the first surgery) was notably shorter (P < 0.05), and their Risk Priority Number (RPN) was lower (P < 0.05). Conclusion: Implementing HFMEA management in consecutive surgery nursing risk control facilitates continuous process optimization and effectively mitigates potential nursing risks.
文章引用：韩威, 胡小萍, 李鹏鑫. 基于医疗失效模式与效应分析在连台手术护理风险管理的应用[J]. 临床医学进展, 2026, 16(1): 1540-1549. https://doi.org/10.12677/acm.2026.161197

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