Applied research on HFMEA in risk prevention and continuous improvement of “Internet + nursing services”
HFMEA在“互联网+护理服务”风险防范与持续改进中的应用研究

摘要

目的 探讨医疗失效模式与效应分析（HFMEA）在“互联网+护理服务”风险防范中的作用。方法 选取在本院“互联网+护理服务”平台注册的人员106例，按时间HFMEA方法指导开展前为对照组，开展后为观察组。比较两组风险优先级值、护理人员风险感知评分和不良事件发生率。结果 观察组的风险优先级值和不良事件发生率显著低于对照组，护理人员风险感知评分显著高于对照组（P<0.05）。结论 应用HFMEA方法能够系统识别“互联网+护理服务”全流程的潜在风险环节，显著降低服务过程风险和不良事件发生率，有助于建立持续改进的风险管理，保障护理人员和患者的安全。

Abstract

Objective To explore the role of medical failure mode and effect analysis (HFMEA) in the risk prevention of “Internet + nursing service”.
Methods 106 people registered on the “Internet + Nursing Service” platform of the hospital were selected, and the pre-control group was carried out according to the time HFMEA method, and the observation group was carried out after the implementation. Compare the risk priority values of the two groups, the risk perception score of nursing staff and the incidence of adverse events.
Results The risk priority and incidence of adverse events in the observation group were significantly lower than those in the control group, and the risk perception score of the nursing staff was significantly higher than that of the control group (P<0.05).
Conclusion   The application of the HFMEA method can systematically identify the potential risk links of the whole process of “Internet + nursing services”, significantly reduce the risk of the service process and the incidence of adverse events, and help establish continuous improvement of risk management to ensure the safety of nursing staff and patients.