失效模式与效应分析在化验标本运送管理中的应用

目的:加强医院化验标本运送的管理,规范化验标本运送的流程,避免化验标本运送错漏或不及时。方法:成立失效模式与效应分析(FMEA)小组,对化验标本运送进行风险评估。通过执行分析,确定4项影响标本准确、及时运送的潜在失效因素为高风险因子,制定、实施改进措施。结果:标本运送缺陷发生率由6.50%下降至1.27%,差异有统计学意义(P<0.01)。4项潜在失效因素的风险优先指数由1550下降至250。结论:将FMEA模式应用于医院化验标本运送管理中,能前瞻性地发现流程中潜在的漏洞,降低标本运送错漏发生率,提高标本送检的准确性和及时性。

Application of failure mode and effects analysis in the management of laboratory specimen delivery

Objective： To strengthen the management of laboratory specimen delivery in hospital, standardize transportation processes, and avoid shipping errors or not timely. Methods： Establish failure mode and effects analysis （FMEA） team; assess the risk of specimen transportation; performing analysis; determine the four potential failure factors influencing accurate and timely delivery of the specimen; calculate risk priority number; and develop improvement measures. Results： The incidence rate of transporting specimens errors decreased from 6.50% to 1.27% （P0.01）. Priority Index （RPN value） of four potential failure factors decreased from 1550 to 250. Conclusion： FMEA model used in the management of hospital laboratory specimen transportation, can proactively identify potential vulnerabilities, reduce the incidence of errors and omissions, and improve the accuracy and timeliness.