应用失效模式与效应分析改造急诊留观病人转运流程

目的应用失效模式与效应分析（FMEA）对急诊留观病人转运流程进行改造，降低病人转运意外发生率。方法2010年7月成立FMEA小组，运用失效模式与效应分析法评估急诊留观病人转运流程中容易发生失效的原因和将造成的后果，找出流程中最需要改变的环节，改造转运流程，以预防失效的发生。一年后比较评价改造前后失效风险指数（RPN）。结果一年内急诊留观病人安全转运，影响安全转运的失效模式RPN值明显下降（P〈0．01）。结论应用FMEA模式改造急诊留观病人转运流程，使分析危险因素更全面，流程改造更客观，实施更容易，能有效降低病人转运意外发生率。

Failure Mode and Effect Analysis Applied to Reform Transportation Flow for Emergency Observing Patients

Objective Failure Mode and Effect Analysis （FMEA） is applied to reform the flow of patient transportation at observing ward in the department of emergency, in order to reduce the potential risk of patient transportation. Methods From July 2010, FMEA group was founded, using FMEA to evaluate the failure causes and consequences in the process of patient transportation at observing ward, and find out the links which were in great need to change, reform the transport process, in order to prevent the occurrence of failure, and compare the risk priority number （PRN） values before and after one year. Results Patient transportation at observing ward was safe within one year, RPN values dropped significantly （P 〈0.01）. Conclusions Using FMEA to reform the flow of patient transportation will make more comprehensive analysis of risk factors, more objective process reformation, easier implementation, which can effectively reduce the rate of patient transportation accident.