[1]张纪平 赵晓霜 孙海瑞 张丹 吴函书 关汭昕 胡莉莉 张葆荣.基于HFMEA优化儿童连续性血液净化操作流程[J].中国卫生质量管理,2025,32(06):081-86.[doi:10.13912/j.cnki.chqm.2025.32.6.16]
 ZHANG Jiping,ZHAO Xiaoshuang,SUN Hairui.Optimization of Operational Procedures for Continuous Blood Purification in Children Based on HFMEA[J].Chinese Health Quality Management,2025,32(06):081-86.[doi:10.13912/j.cnki.chqm.2025.32.6.16]
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基于HFMEA优化儿童连续性血液净化操作流程()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第32卷
期数:
2025年06期
页码:
081-86
栏目:
质量管理方法与工具
出版日期:
2025-06-15

文章信息/Info

Title:
Optimization of Operational Procedures for Continuous Blood Purification in Children Based on HFMEA
作者:
张纪平 赵晓霜 孙海瑞 张丹 吴函书 关汭昕 胡莉莉 张葆荣
吉林大学第一医院
Author(s):
ZHANG Jiping ZHAO Xiaoshuang SUN Hairui
The First Hospital of Jilin University
关键词:
医疗失效模式与效应分析儿童连续性血液净化流程优化
Keywords:
Healthcare Failure Mode and Effect Analysis Children Continuous Blood Purification Process Optimization
分类号:
R197.323;R459.5
DOI:
10.13912/j.cnki.chqm.2025.32.6.16
文献标志码:
B
摘要:
目的优化儿童连续性血液净化操作流程,减少非计划性下机,保证患儿安全。方法利用医疗失效模式与效应分析(HFMEA)梳理儿童连续性血液净化操作流程,进行危害与决策树分析,寻找到关键失效模式,分析根本原因,拟订针对性改善方案。结果儿童连续性血液净化非计划性下机率由44.6%下降至13.0%,改善后关键失效模式的危害评分较改善前均下降。结论利用HFMEA可以有效优化儿童连续性血液净化操作流程,提高血液净化效果,保障患儿安全。
Abstract:
ObjectiveTo optimize the operational procedures for continuous blood purification in children, reduce unplanned termination of treatment, and ensure the safety of pediatric patients.MethodsThe Healthcare Failure Mode and Effect Analysis (HFMEA) was utilized to review the operational procedures for continuous blood purification in children. Hazard and decision tree analyses were conducted to identify critical failure modes, analyze root causes, and formulate targeted improvement plans. ResultsThe rate of unplanned termination of continuous blood purification in children decreased from 44.6% to 13.0%. The hazard scores for critical failure modes in the improved operational procedures were all lower than those before improvement. Conclusion The use of HFMEA can effectively optimize the operational procedures for continuous blood purification in children, improve the efficacy of blood purification, and ensure the safety of pediatric patients.

参考文献/References:

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更新日期/Last Update: 2025-06-15