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失效模式与效应分析在降低危重症孕产妇产后出血中的应用
引用本文:钟莹, 戴世登. 失效模式与效应分析在降低危重症孕产妇产后出血中的应用[J]. 分子影像学杂志, 2016, 39(4): 416-419. doi: 10.3969/j.issn.1674-4500.2016.04.22
作者姓名:钟莹  戴世登
作者单位:1.珠海市妇幼保健院重症孕产妇救治中心,广东 珠海 519000;;2.珠海市卫生和计划生育局,广东 珠海 519000;;3.新疆生产建设兵团第三师卫生局,新疆 喀什 844000
基金项目:广东省科技计划项目412082032029
摘    要:目的探讨失效模式和效果分析(FMEA)理论在降低危重症孕产妇产后出血率中的护理价值。方法选择实施FMEA理论的106例危重症孕产妇为观察组。以实施常规护理的100例危重症孕产妇为对照组。实施FMEA理论分析重症孕产妇中引起产后出血的失效模式及原因,并制订改善措施。比较两组优先风险数值和产后出血率的差异。结果实施FMEA后,危重症孕产妇分娩护理流程中引起产后出血的失效模式优先风险数值皆降低。两组产后出血率(31.0% vs 15.1%)差异有统计学意义(P < 0.05)。结论FMEA理论应用于危重症孕产妇分娩护理流程中,可有效降低产后出血率。

关 键 词:失效模式与效应分析   优先风险数值   危重症孕产妇   产后出血率
收稿时间:2016-06-11

Apllication of failure mode and effect analysis on decreasing postpartum hemorrhage rates in critically ill obstetric patients
Ying ZHONG, Shideng DAI. Apllication of failure mode and effect analysis on decreasing postpartum hemorrhage rates in critically ill obstetric patients[J]. Journal of Molecular Imaging, 2016, 39(4): 416-419. doi: 10.3969/j.issn.1674-4500.2016.04.22
Authors:Ying ZHONG  Shideng DAI
Affiliation:1. Zhuhai severe maternal treatment center, Zhuhai maternal and child health hospital, Zhuhai 519000, Guangdong, China;;2. Zhuhai Health and Family planning Bureau, Zhuhai 519000, Guangdong, China;;3. Health Bureau of the third division of Xinjiang Production and Construction Corps, Kashi 844000, China
Abstract:ObjectiveTo explore the effects of failure mode and effect analysis (FMEA) on postpartum hemorrhagerates in critically ill obstetric patients.Methods106 critically illobstetric patients applying FMEA theory were divided into observation group, while 100 cases of severe maternal into control group given routine nursing care, Failure mode and effect analysis(FMEA) model was used to analyze the main reasons of postpartum hemorrhage ratesin critically ill obstetric patients, To compare the incidence rate of two groups of postpartum hemorrhage.ResultsAfter implementation of methods of FMEA, the RPN in the failure mode was all lowered. Compared with control group, the rate of postpartum hemorrhage in observation groupwas decreased(P < 0.05).ConclusionsThe FMEA model can be effective in reducing the rate of postpartum hemorrhagein critically illobstetric patients. 
Keywords:failure mode and effect analysis  risk priority value  critically ill obstetric patients  postpartum hemorrhage rate
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