Utility of failure mode and effect analysis to improve safety in patients with continuous renal replacement therapies

VernacularTitle:故障模式与影响分析在连续性肾脏替代治疗非计划性下机中的应用
Author: Guihua HAO ¹ ; Min HU ; Jie HUANG ; Li ZHAO ; Wei LU ; Lili HOU
Author Information

1. 200011,上海交通大学医学院附属第九人民医院普外科重症监护病房
Keywords: Patients safety; Failure mode and effect analysis; Continuous renal replacement therapies; Risk management
From: Chinese Journal of Practical Nursing 2018;34(26):2027-2031
CountryChina
Language:Chinese
Abstract: Objective To identify the potential risks in patients receiving continuous renal replacement therapies (CRRT). Methods The concept of failure mode and effect analysis (FMEA) was used to analyze the management of CRRT, to find out the potential failure risks in all of the steps, risk priority numbers (RPNs) of each failure mode were calculated and countermeasures were implemented. Results Twenty-eight failure modes were analyzed, of which 8 modes RPN>125. After improvement of the nursing process in patients with CRRT, the RPN was lowered. The incidence of unplanned end of the CRRT was decreased from 10.86％ (24/221) to 5.81％ (14/241) (χ2=3.896, P<0.05). Conclusions Application of FMEA in risk management for CRRT can help to standardize the workflow and guarantee the safety of patients during CRRT, and is beneficial to continuous improvement of nursing.