病人从急诊科转移到其他院内区域:故障模式与影响分析。

Antonio Prieto-Molina, Marta Aranda-Gallardo, Ana Belén Moya-Suárez, Francisco Rivas-Ruiz, Joaquín Peláez-Cherino, José Carlos Canca-Sánchez
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引用次数: 0

摘要

目的深入分析将病人从急诊科(ED)转移到医院其他区域的过程,找出可能的失败点和风险点,从而制定改进策略:我们成立了一个多学科小组,成员包括急诊科和其他从事成人住院治疗工作的人员。该小组采用失效模式及影响分析(FMEA)来了解院内转运流程。然后建立了一个风险优先级评分系统,以评估每种风险的严重性及其出现和被发现的可能性:结果:我们确定了 8 个转运子流程和 14 个可能发生故障的关键点。与用药和识别病人有关的流程是风险优先级得分最高的部分。针对所有风险制定了改进策略。小组制定了院内转运的具体规程和交接班时使用的核对表:结论:FMEA 方法帮助小组确定了病人转运过程中可能出现故障的风险点,并确定了改善病人安全的方法。
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Patient transfers from emergency departments to other in-hospital areas: a failure mode and effects analysis.

Objectives: To perform an in-depth analysis of the process of transferring patients from an emergency department (ED) to other areas inside a hospital and identify possible points of failure and risk so that strategies for improvement can be developed.

Material and methods: We formed a multidisciplinary group of ED and other personnel working with hospitalized adults. The group applied failure mode and effects analysis (FMEA) to understand the in-hospital transfer processes. A risk priority scoring system was then established to assess the seriousness of each risk and the likelihood it would appear and be detected.

Results: We identified 8 transfer subprocesses and 14 critical points at which failures could occur. Processes related to administering medications and identifying patients were the components that received the highest risk priority scores. Improvement strategies were established for all risks. The group created a specific protocol for in-hospital transfers and a checklist to use during handovers.

Conclusion: The FMEA method helped the group to identify points when there is risk of failure during patient transfers and to define ways to improve patient safety.

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