Using healthcare failure mode and effect analysis to reduce the emergency waiting risk
10.3760/cma.j.cn211501-20220519-01565
- VernacularTitle:应用医疗失效模式与效应分析降低急诊候诊风险的实践
- Author:
Duwei ZHU
1
;
Meiying JIANG
;
Shaohua HU
;
Yuni LIU
;
Juanting ZHOU
;
Yiming LIN
;
Hailong WANG
Author Information
1. 安徽医科大学第一附属医院急诊科，合肥 230022
- Keywords:
Healthcare failure mode and effect analysis;
Emergency triage;
Emergency waiting;
Risk management
- From:
Chinese Journal of Practical Nursing
2023;39(6):412-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of effect of healthcare failure mode and effect analysis (HFMEA) in emergency waiting risk management.Methods:From May 2020 to April 2021, totally 87 902 emergency waiting patients from the First Affiliated Hospital of Anhui Medical University were assigned to control group by cluster sampling method. From May 2021 to April 2022, 80 594 emergency waiting patients were assigned to observed group. The patients in the control group received routine emergency waiting of itinerant management mode. In contrast, the patients in the observed group received emergency waiting risk management mode based on HFMEA. The process risk priority number (RPN) and waiting risk management index between two groups were compared.Results:The mean RPN of the observed group was (98.48 ± 8.27) points, significantly lower than that of the control group (251.27 ± 16.95) points. The nurses′ pre-identification rates of changes in the condition and adverse reaction in the observed group were 10.77%(8680/80 594) and 13.37%(10 775/80 594), which were higher than those in the control group, 5.77%(5072/87 902) and 8.12%(7134/87 902), the differences were statistically significant ( χ2 values were 1402.32 and 1221.66, all P<0.05). Conclusions:The application of HFMEA to optimize the emergency waiting management process can effectively reduce the risk of emergency waiting and improve the quality of emergency waiting management.
