Application of healthcare failure mode and effect analysis of hyperglycemia management in hospitalized diabetic patients
10.3761/j.issn.0254-1769.2018.03.011
- VernacularTitle:糖尿病住院患者高血糖管理流程的优化及效果评价
- Author:
Fengmei TIAN
1
;
Xiaoyan ZHANG
;
Yaqiong LU
;
Aihua XIAO
Author Information
1. 215004,苏州市 苏州大学附属第二医院内分泌科
- Keywords:
Healthcare Failure Mode and Effect Analysis;
Diabetes Mellitus;
Hyperglycemia;
Insulin
- From:
Chinese Journal of Nursing
2018;53(3):305-309
- CountryChina
- Language:Chinese
-
Abstract:
Objective To optimize the process of hyperglycemia management in hospitalized diabetic patients,to standardize behaviors of medical staff and reduce the incidence of adverse events.Methods The team of hyperglycemia management was established to reformulate flowchart of hyperglycemia management for diabetic patients,and to design and implement the intervention scheme by applying Healthcare Failure Mode and Effect Analysis (HFMEA).Results After the application of HFMEA,the reporting rate of hyperglycemia was increased from 74.56％ to 77.98％,the rate of insulin injection was increased from 91.12％ to 94.08％;the qualification rate of theoretical knowledge among nurses was increased from 56.25％ to 93.75％,the qualification rate of insulin injection practice was increased from 43.75％ to 93.75％;the incidence of adverse events related to insulin injection was decreased from 7.31‰ to 1.9‰.The differences were statistically significant (P＜0.05).Conclusion Utilization of HFMEA to optimize the process of hyperglycemia management can effectively standardize behaviors of medical staff and reduce the incidence of adverse events associated with insulin injection.
