Effects of failure modes and effects analysis in transfer of critically ill patients in operating room
10.3760/cma.j.cn115682-20201010-05667
- VernacularTitle:失效模式与效应分析在手术室危重患者转运中的应用
- Author:
Yiyun ZHANG
1
;
Guoyan ZHAO
Author Information
1. 武汉大学中南医院麻醉手术室，武汉 430061
- Keywords:
Operating Room;
Patient transfer;
Failure modes and effects analysis;
Adverse event
- From:
Chinese Journal of Modern Nursing
2021;27(19):2636-2639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of failure modes and effects analysis (FMEA) in the transfer of critically ill patients in operating room.Methods:Convenient sampling was used to include totally 50 critically ill patients from the operating room at Zhongnan Hospital of Wuhan University between January and September into a control group, and another 50 critically ill patients from the operating room from October 2019 to June 2020 into an observation group. Patients in the control group received conventional transfer management, while patients in the observation group were managed with FMEA. The adverse reactions, transfer time, and satisfaction of receiving departments were compared between the two groups of patients.Results:The total incidence of adverse reactions such as drainage tube slippage, infusion tube slippage, tracheal tube slippage, and sudden disease changes in the observation group was 6% (3/50) , which was lower than 22% (11/50) in the control group (χ 2=6.673, P<0.05) . The transfer time in the group was (26.57±3.83) min, which was shorter than (41.52±4.04) min in the control group ( t=12.672, P<0.05) . The satisfaction of receiving departments for the observation group in advance notice of the condition, preparation of first aid equipment, notification of vital signs, the condition and medication upon handover, and assistance in placement was higher than that for the control group ( P<0.05) . Conclusions:The use of FMEA in the transfer of critically ill patients in operating room can reduce the occurrence of adverse events during the transfer, shorten the transfer time, improve the satisfaction of receiving departments, and reduce the transfer risk.
