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中文摘要: 目的：应用失效模式与效应分析（FMEA）法，减少晚夜间病人急救中错失的发生，降低医疗风险，提高病人安全。方法：成立FMEA小组，用FMEA方法对晚夜间病人急救过程中可能出现的失效模式进行分析，对危害指数（RPN）进行评估，通过决策树分析，确定需要优先改善的流程，开展针对性的改善行动并评估改善后的效果。结果：采取改善行动后各项RPN值均＜8，效果显著。结论：FMEA方法应用于晚夜间病人急救流程中，能在风险发生前提前预测评估，并针对性拟定应对方案，可有效减少晚夜间急救过程中风险事件的发生。
Abstract:Objective：Applying Failure Mode and Effect Analysis（FMEA）in emergency treatments during nights is to reduce fault in treatments，to reduce medical risks while improving patients’health and safety conditions. Method：FMEA group was formed. To analyze potential failure mode in emergency treatments during nights and assess RPN. According to the analyze of decision tree，the group will also determine process that needs prior amendments，to conduct related behavior and to evaluate effect after the amendments. Results：All RPN values are less than 8 while after the amendments，which is an obvious improvement. Conclusion：Applying FMEA in emergency treatments during nights can predict assessment in advance of risks and help to make specific responsive plan.It can also effectively reduce risks in emergency treatments during nights.
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基金项目:江苏省医院协会医院管理创新研究面上指导课题（JSYGY-3-2019-462） 江苏省医院协会医院管理创新研究面上指导课题（JSYGY-3-2019-462）
引用文本：
刘 娟,周立涛,姜婷婷,刘燕丹,王 烈,高 勇*.失效模式与效应分析在晚夜间病人急救中的应用△[J].江苏卫生事业管理,2020,31(4):443-446.
Liu Juan,Zhou Litao,Jiang Tingting,Liu Yandan,Wang Lie,Gao Yong*.Application of Failure Mode and Effect Analysis in Patient Emergency at Night△[J].Jiangsu Health System Management,2020,31(4):443-446.
刘 娟,周立涛,姜婷婷,刘燕丹,王 烈,高 勇*.失效模式与效应分析在晚夜间病人急救中的应用△[J].江苏卫生事业管理,2020,31(4):443-446.
Liu Juan,Zhou Litao,Jiang Tingting,Liu Yandan,Wang Lie,Gao Yong*.Application of Failure Mode and Effect Analysis in Patient Emergency at Night△[J].Jiangsu Health System Management,2020,31(4):443-446.
