Healthcare failure mode effect analysis in the safety management of intraoperative irradiation after conservative surgery for breast cancer
10.3760/cma.j.issn.1674-2907.2019.13.025
- VernacularTitle:医疗失效模式与效应分析法在乳腺癌保乳手术联合术中放疗安全管理中的应用
- Author:
Zengmei ZHANG
1
;
Liqun SUN
;
Shengyun LI
;
Wei WEI
;
Yu WANG
Author Information
1. 郑州大学第一附属医院手术部
- Keywords:
Breast neoplasms;
Operating room;
Radiotherapy;
Nursing management;
Nursing safety;
Healthcare failure mode and effect analysis
- From:
Chinese Journal of Modern Nursing
2019;25(13):1693-1697
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of health failure mode and effect analysis(HFMEA) in the safety management of intraoperative radiotherapy(IORT). Methods? The HFMEA group was set up to analyze the potential risks of breast cancer patients undergoing intraoperative radiotherapy from January 2014 to April 2018. The group listed the failed modes that need to be improved, identified the invalid steps that need intervention, determined the causes of the failure and calculated the risk priority number (RPN), created the safety management plans and put them into action. Finally, the outcomes were observed and analyzed. Results? After the improvement of the HFMEA, the patients' healing rate of stage-Ⅰ incision increased from 85.42% to 98.18% with statistical significance (χ2=4.184,P＜0.05). The patients' satisfaction degree scored (98.21±3.98)from the patients and (99.02±5.89)from the surgeons, both higher than those before improvement with statistical significance (t=5.24, 3.07;P＜0.05). After the improvement, the absorbed and scattered dose of the affected and contralateral skin of thyroid gland, and the absorbed and scattered dose of the affected and contralateral skin of lens were lower than those before improvement. Conclusions? Through prospectively controlling non-standard operation behaviors and optimizing the process, the application of HFMEA in the intraoperative irradiation after conservative surgery for breast cancer can ensure patients' safety and improve the quality of surgeries.
