Application of FMEA in decreasing the risk of postoperative indwelling pathologic specimens

VernacularTitle:运用失效模式与效应分析降低术后留置病理标本管理失误风险
Author: Xitian TANG ¹ ; Wenzhen GU ; Jianqiang HUANG
Author Information

1. 510055 广州，中山大学附属口腔医院手术室
Keywords: Operating room; Specimen; Failure mode and effect analysis ( FMEA)
From: Chinese Journal of Modern Nursing 2014;20(4):454-456,457
CountryChina
Language:Chinese
Abstract: Objective To discuss failure mode and effects analysis (FMEA) in reducing the surgical patient’s postoperative indwelling pathologic specimens error rate and effective control of the specimen quality inspection application .Methods We established the FMEA team and set “reduce postoperative indwelling pathologic specimen error rate” as the theme.According to the process of drawing , analysis, calculation of risk assessment code (RAC) and risk priority number (RPN), evaluation the results, etc, we investigated all the postoperative indwelling pathologic specimen situations and analyzed the cause of error specimen lien .Then corresponding countermeasures were made and applied .At last, we checked the effect .Results After the implementation of FMEA , the postoperative indwelling pathologic specimen error rate for the surgical patients decreased from 13.11% to 0.00%.Conclusions FMEA is very effective in reducing the surgical patient ’ s postoperative indwelling pathologic specimens risk and is worthy of generalizing .