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中华养生保健 ›› 2025, Vol. 43 ›› Issue (7): 50-54.

• 临床研究 • 上一篇    下一篇

失效模式与效应分析在非计划二次手术管理中的价值

何承融, 翟秀丽, 张荣萍*   

  1. 中国人民解放军联勤保障部队第九二六医院质量管理科,云南 红河,661600
  • 出版日期:2025-04-01 发布日期:2025-04-02
  • 通讯作者: * 张荣萍,E-mail：1344820511@qq.com。
  • 作者简介:何承融（1990—）,女,汉族,籍贯：云南省红河哈尼族彝族自治州,本科,主管护师,研究方向：医疗质量管理。

The Value of Failure Mode and Effects Analysis in Unplanned Secondary Surgery Management

HE Cheng-rong, ZHAI Xiu-li, ZHANG Rong-ping*   

  1. Department of Quality Management, 926th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China , Honghe Yunnan, 661011, China
  • Online:2025-04-01 Published:2025-04-02

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摘要： 目的 进行非计划二次手术管理中行失效模式与效应分析的效果探究。方法 将2021年1月—2022年12月中国人民解放军联勤保障部队第九二六医院非计划二次手术管理作为研究对象,于2021年1月—2021年12月行常规管理（作为对照组）,利用失效模式与效应分析方法分析对照组的非计划二次手术管理工作,于2022年1月—2022年12月实施制订的预防措施（作为观察组）,比较管理结果。结果 非计划二次手术管理效果方面,观察组非计划二次手术发生率、术后出血率、术后吻合口瘘发生率明显低于对照组,住院时间短于对照组,差异有统计学意义（P<0.05）。非计划二次手术管理质量方面,观察组预防措施执行情况、术后管理情况、手术团队沟通情况明显优于对照组,差异有统计学意义（P<0.05）。结论 于非计划二次手术管理中行失效模式与效应分析,发现非计划二次手术发生率会受到术前、术中、术后等多方面影响。针对影响因素,采取加强工作人员管理、重视术前评估与术前准备、强化围术期管理工作等措施,可降低非计划二次手术发生率、术后出血及吻合口瘘发生率,减少手术时间及术中输血量,提高手术安全性及有效性,让患者尽早出院。

关键词: 非计划二次手术管理, 失效模式与效应分析

Abstract: Objective To explore the effectiveness of failure mode and effect analysis in unplanned secondary surgery management. Method The management of unplanned secondary surgeries at the 926th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China from January 2021 to December 2022 was selected as the research object. Routine management was performed from January to December 2021 (as the control group), and failure mode and effect analysis was used to analyze the management of unplanned secondary surgeries in the control group. Preventive measures were implemented from January to December 2022 (as the observation group). Compare management results. Result In terms of the management effect of unplanned secondary surgery, the observation group had a significantly lower incidence of unplanned secondary surgery, postoperative bleeding rate, postoperative anastomotic fistula, and hospital stay days compared to the control group, and both groups had statistical significance (P<0.05). In terms of the quality of unplanned secondary surgery management, the observation group scored in the implementation of preventive measures, in postoperative management, and in surgical team communication situation, which were significantly better than the control group (P<0.05). The comparison between the two groups was statistically significant (P<0.05). Conclusion Failure mode and effect analysis was conducted in the management of unplanned secondary surgery, and it was found that the incidence of unplanned secondary surgery is influenced by various factors such as preoperative, intraoperative, and postoperative factors. In response to the influencing factors, measures such as strengthening staff management, emphasizing preoperative evaluation and preparation, and strengthening perioperative management can be taken to reduce the incidence of unplanned secondary surgery, postoperative bleeding, and anastomotic fistula, reduce surgical time and intraoperative blood transfusion, improve surgical safety and effectiveness, and enable patients to be discharged as soon as possible.

Key words: unplanned secondary surgery management, failure mode and effect analysis

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