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Objective To explore the effectiveness of failure mode and effect analysis (FMEA) combined with risk assessment tracking in the management of arthroscopic day surgery instruments. Methods To conduct FMEA for each link of arthroscopic day surgery instruments management process, select the failure mode of priority risk value (RPN)> 125, conduct cause analysis, and formulate improvement measures from the aspects of device information tracking, standardized equipment, fine management, and implement risk assessment tracking management. The RPN value, maintenance rate of surgery instruments, accuracy qualification rate of surgical instruments and turnover time of emergency instruments were measured for effectiveness analysis. Results Five major failure modes were determined by FMEA activity, the priority risk values of all major failure modes decreased after activity than before implementation, with a significant difference(P

目的 探讨失效模式与效应分析(FMEA)在患儿围手术期安全管理中的应用效果。方法 选 取2022年1-12月在该医院手术室全身麻醉下行腹股沟疝高位结扎术和交通性鞘膜积液结扎术的患儿190例 作为研究对象。将2022年1-6月手术患儿93例作为对照组,实施常规手术护理配合,将2022年7-12月手 术患儿97例作为观察组,在对照组基础上应用 FMEA,分析患儿在手术安全管理中的失效模式与失效原因,制 定对策并实施改进方案。比较 2 组患儿静脉穿刺 成 功 率、麻 醉 诱 导 依 从 性、苏 醒 期 躁 动 及 术 后 行 为 改 变。 结果 观察组患儿静脉穿刺成功率[84.54%(82/97)]高于对照组[62.37%(58/93)];麻醉诱导依从性评分 [(1.28±1.07)分]明显低于对照组[(5.64±1.60)分];苏醒期躁动评分[(5.26±0.60)分]明显低于对照组 [(5.56±0.50)分],差异均有统计学意义(P<0.05)。术后1d,观察组患儿术后不良行为改变(NPOBCs)发生 率[52.58%(51/97)]明显低于对照组[78.49%(73/93)],差异有统计学意义(P<0.05);术后7d,观察组患儿 NPOBCs发生 率 [44.33% (43/97)]低 于 对 照 组 [55.91% (52/93)],但 差 异 无 统 计 学 意 义 (P >0.05)。 结论 FMEA 可前瞻性评估并预防患儿围手术期风险,保障患儿围手术期安全。 [ABSTRACT FROM AUTHOR]

目的 探讨失效模式与效应分析(FMEA)在早产儿精细化护理中的应用效果。方法 选取 2022年1—7月收治于该院新生儿科的562例早产儿作为对照组,遵循常规实施早产儿精细化护理;2022年8 月至2023年2月收治于该院新生儿科558例早产儿作为观察组,采用 FMEA 优化后的精细化护理流程,对高 危失效模式进行分析整改,比较两组患儿生长发育指标、并发症发生率及医护满意度。结果 观察组患儿并发 症发生率低于对照组,生长发育指标优于对照组,医护满意度显著高于对照组,差异均有统计学意义(P < 0.05)。结论 在早产儿精细化护理中应用失效模式与效应分析,能改善早产儿的生长发育指标,降低并发症 发生率,提高早产儿医疗护理质量。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Medical Equipment Journal is the property of Chinese Medical Equipment Journal Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 研究失效模式与效应分析(FMEA)联合 PDCA 循环管理模式在手术室护理管理中的应 用。方法 使用随机数字表法将 2019 年5月至 2021 年 5月在该院手术的患者140例分为对照组和观察组,各 70 例。对照组采用常规护理管理,观察组采用 FMEA 联合 PDCA 循环管理。对比两组的护理质量、护理风险 事件发生情况,以及观察组管理前后风险优先指数(RPN)值变化情况。结果 观察组护理质量各维度及总分 均高于对照组,差异均有统计学意义 (P<0.05)。观察组的护理风险事件总发生率 [2.85%(2/70)] 低于对照组 [11.42%(8/70)], 差异有统计学意义(P<0.05)。观察组管理后术前安全访视评估欠缺、手术部位标识错误、 术中感染、术中低体温、术中压疮的 RPN 值均低于管理前,差异均有统计学意义 (P<0.05)。结论 FMEA 联合 PDCA 循环管理模式能够提高手术室护理管理质量,减少护理风险事件的发生,降低护理安全隐患,值得应用。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Medical Equipment Journal is the property of Chinese Medical Equipment Journal Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)