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[1]薛淑敏卫攀李妍郭晓岚史敏李英旗赵海咪尹姣.应用HFMEA优化房颤一站式手术围手术期管理流程[J].中国卫生质量管理,2025,32(10):56-63.[doi:10.13912/j.cnki.chqm.2025.32.10.12]
　XUE Shumin,WEI Pan,LI Yan.Research on the Optimization of Perioperative Management Process for One-Stop Surgery of Atrial Fibrillation[J].Chinese Health Quality Management,2025,32(10):56-63.[doi:10.13912/j.cnki.chqm.2025.32.10.12]

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应用HFMEA优化房颤一站式手术围手术期管理流程

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年10期页码: 56-63 栏目: 质量管理方法与工具出版日期: 2025-10-15

Title:: Research on the Optimization of Perioperative Management Process for One-Stop Surgery of Atrial Fibrillation

作者:: 薛淑敏卫攀李妍郭晓岚史敏李英旗赵海咪尹姣; 空军军医大学第二附属医院

Author(s):: XUE Shumin; WEI Pan; LI Yan; The Second Affiliated Hospital of Air Force Military Medical University

关键词:: 医疗失效模式和效应分析; 房颤; 一站式手术; 围手术期管理; 流程优化

Keywords:: Healthcare Failure Mode and Effect Analysis; Atrial Fibrillation; One-Stop Surgery; Perioperative Management; Process Optimization

分类号:: R197.323；R541.7

DOI:: 10.13912/j.cnki.chqm.2025.32.10.12

文献标志码:: B

摘要:: 目的应用医疗失效模式和效应分析（HFMEA）优化房颤一站式手术围手术期管理流程。方法按照HFMEA步骤，对房颤一站式手术围手术期存在的风险点进行系统挖掘和深入分析，从精准术前多维管理、优化手术策略、创新术后临床实践、数智赋能全程管理等4方面制订针对性干预措施。结果医生手术操作平均时间缩短至190 min；患者术前检查平均等待时间缩短至24.5 h，术前评估落实率提高至97.14%，术中中度及以上疼痛发生率降低至14.28%，术中低体温发生率降低至17.14%，术后48 h内能量摄入达标率提高至97.14%，平均住院日缩短至4.2 d，随访率提高至97.14%。结论应用HFMEA优化了房颤一站式手术围手术期管理流程，降低了围手术期风险，改善了患者就医体验，确保了患者安全。

Abstract:: ObjectiveTo optimize the perioperative management process of one-stop surgery for atrial fibrillation (AF) using healthcare failure mode and effect analysis (HFMEA).MethodsIn accordance with the steps of HFMEA, a systematic exploration and in-depth analysis were conducted on the risk points existing in the perioperative period of one-stop surgery for AF. Targeted intervention measures were formulated from four aspects: precise preoperative multidimensional management, optimization of surgical strategies, innovative postoperative clinical practices, and digital intelligence-enabled whole-process management.ResultsThe average surgical operation time for healthcare professionals was shortened to 190 minutes; the average waiting time for preoperative examinations for patients was reduced to 24.5 hours, the implementation rate of preoperative assessments increased to 97.14%, the incidence of moderate or higher pain during surgery decreased to 14.28%, the incidence of intraoperative hypothermia decreased to 17.14%, the compliance rate of energy intake within 48 hours postoperatively increased to 97.14%, the average length of hospital stay was shortened to 4.2 days, and the follow-up rate increased to 97.14%.Conclusion The application of HFMEA optimized the perioperative management process of one-stop surgery for AF, reduced perioperative surgical risks, improved patients’ healthcare experiences, and ensured patient safety.

参考文献/References:

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更新日期/Last Update: 2025-10-15