本文選題：醫(yī)療失效模式與效應(yīng)分析法 + 腦血管損傷　； 參考：《中華護理雜志》2017年04期

【摘要】：目的通過對急性缺血性腦卒中患者腦血管再通流程進(jìn)行優(yōu)化,縮短腦卒中患者院內(nèi)治療延誤時間。方法成立多學(xué)科小組,構(gòu)建急性缺血性腦卒中患者腦血管再通流程,應(yīng)用醫(yī)療失效模式與效應(yīng)分析法(healthcare failure mode and effect,HFMEA)對流程步驟進(jìn)行失效分析,制訂并實施管理方案。結(jié)果實施流程優(yōu)化方案后,患者入院至溶栓用藥時間(door to needle time,DNT)從88(42,140)min縮短至45(37,59)min(P0.001);DNT≤60 min的患者比例從20.0%上升至87.7%(P0.001);入院至動脈血管再通的時間從207(169,227)min縮短至165(155,185)min(P0.05);腦血管再通率從7.81%提高到13.64%(P0.05),實施前后患者癥狀性腦出血發(fā)生率及病死率的比較,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論應(yīng)用HFMEA優(yōu)化急性缺血性腦卒中患者腦血管再通流程,可有效地減少院內(nèi)治療延誤時間。
[Abstract]:Objective to optimize the procedure of cerebrovascular recanalization in patients with acute ischemic stroke and shorten the delay time of hospital treatment. Methods A multidisciplinary team was set up to construct the cerebrovascular recanalization process in patients with acute ischemic stroke. The failure analysis of the process was carried out by the method of Healthcare failure mode and effect failure mode and MEA, and the management scheme was worked out and implemented. Results after the implementation of the process optimization scheme, The time from admission to thrombolytic therapy was shortened from 88(42140)min to 45 ~ 37,59min, P0.001n and 鈮，

本文編號：1951622