| 应用医疗失效模式与效应分析降低气管插管非计划性拔管率 |
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| 引用本文： | 管咏梅,沈南平,何萍萍.应用医疗失效模式与效应分析降低气管插管非计划性拔管率[J].上海交通大学学报(医学版),2011,31(9):1355-1357. |
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| 作者姓名： | 管咏梅 沈南平 何萍萍 |
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| 作者单位： | 上海交通大学医学院附属上海儿童医学中心心脏中心,上海,200127 |
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| 摘 要： | 目的应用医疗失效模式与效应分析(HFMEA)改进气管插管护理流程和制度,降低气管插管非计划性拔管率。方法应用HFMEA探讨上海交通大学医学院附属上海儿童医学中心心脏中心气管插管非计划性拔管的主要原因,改进气管插管的护理流程和制度。结果实施改进的气管插管护理流程和制度后,非计划性气管插管拔管率由2009年的0.188降低为2010年的0.113。结论应用HFMEA改进气管插管护理流程和制度,对医护人员进行非计划性拔管预防教育,可有效降低非计划性气管插管拔管率。
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| 关 键 词： | 医疗失效模式与效应分析 气管插管 非计划性拔管 |
Control of unplanned endotracheal extubation with Healthcare Failure Mode and Effect Analysis |
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| GUAN Yong-mei,SHEN Nan-ping,HE Ping-ping.Control of unplanned endotracheal extubation with Healthcare Failure Mode and Effect Analysis[J].Journal of Shanghai Jiaotong University:Medical Science,2011,31(9):1355-1357. |
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| Authors: | GUAN Yong-mei SHEN Nan-ping HE Ping-ping |
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| Institution: | GUAN Yong-mei,SHEN Nan-ping,HE Ping-ping(Cardiac Center,Shanghai Children's Medical Center,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China) |
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| Abstract: | Objective To improve the nursing procedure of endotracheal intubation for control of unplanned extubation with healthcare failure mode and effect analysis(HFMEA).Methods HFMEA was adopted to explore the main causes for unplanned endotracheal extubation in Cardiac Center,Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine,and modified nursing procedure of endotracheal intubation was designed.Results After implementation of the modified nursing procedure,the unplan... |
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| Keywords: | healthcare failure mode and effect analysis endotracheal intubation unplanned extubation |
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