Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients_West China Medical Journal

Authors：

LIU Hao ¹ ,  XU Jiahua ¹ , ZHANG Haiying ¹ , WANG Mishi ² , HUANG Guoying ³

1. Quality Control Department, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;
2. Operation Management Department, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;
3. Hospital Office, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;

Corresponding?author：

XU Jiahua, Email: 1036941730@qq.com

Keywords：

Failure mode and effect analysis; specimens from relatives of patients; specimen management; process optimization

DOI：

10.7507/1002-0179.202103217

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the process of using failure mode and effect analysis (FMEA) to optimize the management of specimens from relatives of patients and analyze its effects. Methods The data of the specimens tested by the family members of hospital patients between October 2019 and June 2020 in the Children’s Hospital of Fudan University were collected. The data between October 2019 and March 2020 were taken as the pre-FMEA group, and the data between April 2020 and June 2020 were taken as the FMEA group. We used FMEA method to evaluate the risk points in the management of specimens from relatives of patients, analyzed the reasons to propose improvement measures, and compared the effect of optimizing the management of specimens from relatives of patients before and after the implementation of FMEA. Results A total of 12 117 specimens from relatives of patients were included, including 6 132 cases in the pre-FMEA group and 5 985 cases in the FMEA group. A total of 13 potential failure modes were found, including 3 high risk, 3 medium risk and 7 low risk. After the implementation of FMEA, the 3 high risk failure modes, 1 medium risk failure modes “inspection type application error” and 1 low risk failure modes “diagnosis error” were lower than that pre-FMEA (P<0.05). The interview results showed that the job satisfaction and work risk awareness of relevant medical staff were improved after the implementation of FMEA. Conclusions The use of FMEA to optimize the management process of patient family specimens accurately captures the risk points. After the implementation of the improvement, the potential risk of the process is reduced, possible errors are prevented, work efficiency and job satisfaction are improved, and it can be used as a reference for hospital managers.

Citation： LIU Hao, XU Jiahua, ZHANG Haiying, WANG Mishi, HUANG Guoying. Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients. West China Medical Journal, 2022, 37(11): 1697-1700. doi: 10.7507/1002-0179.202103217 Copy

1.	唐靜, 陳洪, 王智勇, 等. 當前國內醫院醫療風險管理的思考. 重慶醫學, 2021, 50(7): 1240-1244.
2.	Lu Y, Teng F, Zhou J, et al. Failure mode and effect analysis in blood transfusion: a proactive tool to reduce risks. Transfusion, 2013, 53(12): 3080-3087.
3.	王倩. 失效模式和效應分析在預防與控制導管室醫院感染中的應用及其效果分析. 抗感染藥學, 2020, 17(10): 1476-1478, 1483.
4.	鄔巧玲, 喻薇, 王衛華, 等. FMEA 在醫聯體模式下院間轉診感染風險防控中的應用. 中國醫院, 2021, 25(1): 90-92.
5.	楊大中, 王建斌. 醫療失效模式與效應分析在醫院新冠肺炎疫情防控風險管理中的應用. 中國初級衛生保健, 2022, 36(8): 75-78.
6.	單敏, 郭香鳳, 鄺田華. 失效模式與效應分析在泌尿外科留置導尿患者尿路感染管理中的應用. 吉林醫學, 2022, 43(8): 2298-2300.
7.	鐘際香, 劉寧, 張文娟, 等. 基于 FMEA 結合 RCA 在婦科盆腔手術后深靜脈血栓風險管理中的應用. 全科護理, 2020, 18(4): 464-467.
8.	張坤和, 譚健華. 淺談新形勢下持續質量改進在醫療質量管理中的應用. 基層醫學論壇, 2021, 25(2): 270-271.
9.	蔣夢星, 張林莎, 尹海靜. 檢驗標本條形碼管理中缺陷發生的原因分析與管理對策. 中醫藥管理雜志, 2020, 28(21): 220-222.
10.	鮑映雪, 孫柳君, 袁勉, 等. 失效模式與效應分析在手術室護理質量安全管理中的應用效果評價. 中國藥物與臨床, 2019, 19(12): 2110-2112.
11.	呂倩, 賴曉全, 徐敏, 等. 基于醫療失效模式與效應分析法的發熱門診醫院感染風險管理. 中華醫院感染學雜志, 2022, 32(12): 1861-1865.
12.	儲艷. 失效模式和效應分析法用于醫院藥事管理的效果. 臨床合理用藥雜志, 2022, 15(8): 167-170.
13.	張櫨文, 魏萬宏, 張艷慧, 等. 基于 Citespace 的醫療失效模式與效應分析相關研究的可視化分析. 現代預防醫學, 2022, 49(1): 97-102.
14.	楊冬菊, 覃俊妮, 陳萬平, 等. 失效模式與效應分析在我國護理風險管理中的研究進展. 海南醫學, 2021, 32(24): 3254-3257.
15.	劉五華. 失效模式與效應分析在防范精神科護理不良事件中的應用. 中國藥物與臨床, 2021, 21(12): 2144-2146.

1. 唐靜, 陳洪, 王智勇, 等. 當前國內醫院醫療風險管理的思考. 重慶醫學, 2021, 50(7): 1240-1244.
2. Lu Y, Teng F, Zhou J, et al. Failure mode and effect analysis in blood transfusion: a proactive tool to reduce risks. Transfusion, 2013, 53(12): 3080-3087.
3. 王倩. 失效模式和效應分析在預防與控制導管室醫院感染中的應用及其效果分析. 抗感染藥學, 2020, 17(10): 1476-1478, 1483.
4. 鄔巧玲, 喻薇, 王衛華, 等. FMEA 在醫聯體模式下院間轉診感染風險防控中的應用. 中國醫院, 2021, 25(1): 90-92.
5. 楊大中, 王建斌. 醫療失效模式與效應分析在醫院新冠肺炎疫情防控風險管理中的應用. 中國初級衛生保健, 2022, 36(8): 75-78.
6. 單敏, 郭香鳳, 鄺田華. 失效模式與效應分析在泌尿外科留置導尿患者尿路感染管理中的應用. 吉林醫學, 2022, 43(8): 2298-2300.
7. 鐘際香, 劉寧, 張文娟, 等. 基于 FMEA 結合 RCA 在婦科盆腔手術后深靜脈血栓風險管理中的應用. 全科護理, 2020, 18(4): 464-467.
8. 張坤和, 譚健華. 淺談新形勢下持續質量改進在醫療質量管理中的應用. 基層醫學論壇, 2021, 25(2): 270-271.
9. 蔣夢星, 張林莎, 尹海靜. 檢驗標本條形碼管理中缺陷發生的原因分析與管理對策. 中醫藥管理雜志, 2020, 28(21): 220-222.
10. 鮑映雪, 孫柳君, 袁勉, 等. 失效模式與效應分析在手術室護理質量安全管理中的應用效果評價. 中國藥物與臨床, 2019, 19(12): 2110-2112.
11. 呂倩, 賴曉全, 徐敏, 等. 基于醫療失效模式與效應分析法的發熱門診醫院感染風險管理. 中華醫院感染學雜志, 2022, 32(12): 1861-1865.
12. 儲艷. 失效模式和效應分析法用于醫院藥事管理的效果. 臨床合理用藥雜志, 2022, 15(8): 167-170.
13. 張櫨文, 魏萬宏, 張艷慧, 等. 基于 Citespace 的醫療失效模式與效應分析相關研究的可視化分析. 現代預防醫學, 2022, 49(1): 97-102.
14. 楊冬菊, 覃俊妮, 陳萬平, 等. 失效模式與效應分析在我國護理風險管理中的研究進展. 海南醫學, 2021, 32(24): 3254-3257.
15. 劉五華. 失效模式與效應分析在防范精神科護理不良事件中的應用. 中國藥物與臨床, 2021, 21(12): 2144-2146.

West China Medical Journal

Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content