Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients_West China Medical Journal

Authors：

LIU Hao ¹ ,  XU Jiahua ¹ , ZHANG Haiying ¹ , WANG Mishi ² , HUANG Guoying ³

1. Quality Control Department, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;
2. Operation Management Department, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;
3. Hospital Office, Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;

Corresponding author：

XU Jiahua, Email: 1036941730@qq.com

Keywords：

Failure mode and effect analysis; specimens from relatives of patients; specimen management; process optimization

DOI：

10.7507/1002-0179.202103217

Video：

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Objective To explore the process of using failure mode and effect analysis (FMEA) to optimize the management of specimens from relatives of patients and analyze its effects. Methods The data of the specimens tested by the family members of hospital patients between October 2019 and June 2020 in the Children’s Hospital of Fudan University were collected. The data between October 2019 and March 2020 were taken as the pre-FMEA group, and the data between April 2020 and June 2020 were taken as the FMEA group. We used FMEA method to evaluate the risk points in the management of specimens from relatives of patients, analyzed the reasons to propose improvement measures, and compared the effect of optimizing the management of specimens from relatives of patients before and after the implementation of FMEA. Results A total of 12 117 specimens from relatives of patients were included, including 6 132 cases in the pre-FMEA group and 5 985 cases in the FMEA group. A total of 13 potential failure modes were found, including 3 high risk, 3 medium risk and 7 low risk. After the implementation of FMEA, the 3 high risk failure modes, 1 medium risk failure modes “inspection type application error” and 1 low risk failure modes “diagnosis error” were lower than that pre-FMEA (P<0.05). The interview results showed that the job satisfaction and work risk awareness of relevant medical staff were improved after the implementation of FMEA. Conclusions The use of FMEA to optimize the management process of patient family specimens accurately captures the risk points. After the implementation of the improvement, the potential risk of the process is reduced, possible errors are prevented, work efficiency and job satisfaction are improved, and it can be used as a reference for hospital managers.

Citation： LIU Hao, XU Jiahua, ZHANG Haiying, WANG Mishi, HUANG Guoying. Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients. West China Medical Journal, 2022, 37(11): 1697-1700. doi: 10.7507/1002-0179.202103217 Copy

1.	唐静, 陈洪, 王智勇, 等. 当前国内医院医疗风险管理的思考. 重庆医学, 2021, 50(7): 1240-1244.
2.	Lu Y, Teng F, Zhou J, et al. Failure mode and effect analysis in blood transfusion: a proactive tool to reduce risks. Transfusion, 2013, 53(12): 3080-3087.
3.	王倩. 失效模式和效应分析在预防与控制导管室医院感染中的应用及其效果分析. 抗感染药学, 2020, 17(10): 1476-1478, 1483.
4.	邬巧玲, 喻薇, 王卫华, 等. FMEA 在医联体模式下院间转诊感染风险防控中的应用. 中国医院, 2021, 25(1): 90-92.
5.	杨大中, 王建斌. 医疗失效模式与效应分析在医院新冠肺炎疫情防控风险管理中的应用. 中国初级卫生保健, 2022, 36(8): 75-78.
6.	单敏, 郭香凤, 邝田华. 失效模式与效应分析在泌尿外科留置导尿患者尿路感染管理中的应用. 吉林医学, 2022, 43(8): 2298-2300.
7.	钟际香, 刘宁, 张文娟, 等. 基于 FMEA 结合 RCA 在妇科盆腔手术后深静脉血栓风险管理中的应用. 全科护理, 2020, 18(4): 464-467.
8.	张坤和, 谭健华. 浅谈新形势下持续质量改进在医疗质量管理中的应用. 基层医学论坛, 2021, 25(2): 270-271.
9.	蒋梦星, 张林莎, 尹海静. 检验标本条形码管理中缺陷发生的原因分析与管理对策. 中医药管理杂志, 2020, 28(21): 220-222.
10.	鲍映雪, 孙柳君, 袁勉, 等. 失效模式与效应分析在手术室护理质量安全管理中的应用效果评价. 中国药物与临床, 2019, 19(12): 2110-2112.
11.	吕倩, 赖晓全, 徐敏, 等. 基于医疗失效模式与效应分析法的发热门诊医院感染风险管理. 中华医院感染学杂志, 2022, 32(12): 1861-1865.
12.	储艳. 失效模式和效应分析法用于医院药事管理的效果. 临床合理用药杂志, 2022, 15(8): 167-170.
13.	张栌文, 魏万宏, 张艳慧, 等. 基于 Citespace 的医疗失效模式与效应分析相关研究的可视化分析. 现代预防医学, 2022, 49(1): 97-102.
14.	杨冬菊, 覃俊妮, 陈万平, 等. 失效模式与效应分析在我国护理风险管理中的研究进展. 海南医学, 2021, 32(24): 3254-3257.
15.	刘五华. 失效模式与效应分析在防范精神科护理不良事件中的应用. 中国药物与临床, 2021, 21(12): 2144-2146.

1. 唐静, 陈洪, 王智勇, 等. 当前国内医院医疗风险管理的思考. 重庆医学, 2021, 50(7): 1240-1244.
2. Lu Y, Teng F, Zhou J, et al. Failure mode and effect analysis in blood transfusion: a proactive tool to reduce risks. Transfusion, 2013, 53(12): 3080-3087.
3. 王倩. 失效模式和效应分析在预防与控制导管室医院感染中的应用及其效果分析. 抗感染药学, 2020, 17(10): 1476-1478, 1483.
4. 邬巧玲, 喻薇, 王卫华, 等. FMEA 在医联体模式下院间转诊感染风险防控中的应用. 中国医院, 2021, 25(1): 90-92.
5. 杨大中, 王建斌. 医疗失效模式与效应分析在医院新冠肺炎疫情防控风险管理中的应用. 中国初级卫生保健, 2022, 36(8): 75-78.
6. 单敏, 郭香凤, 邝田华. 失效模式与效应分析在泌尿外科留置导尿患者尿路感染管理中的应用. 吉林医学, 2022, 43(8): 2298-2300.
7. 钟际香, 刘宁, 张文娟, 等. 基于 FMEA 结合 RCA 在妇科盆腔手术后深静脉血栓风险管理中的应用. 全科护理, 2020, 18(4): 464-467.
8. 张坤和, 谭健华. 浅谈新形势下持续质量改进在医疗质量管理中的应用. 基层医学论坛, 2021, 25(2): 270-271.
9. 蒋梦星, 张林莎, 尹海静. 检验标本条形码管理中缺陷发生的原因分析与管理对策. 中医药管理杂志, 2020, 28(21): 220-222.
10. 鲍映雪, 孙柳君, 袁勉, 等. 失效模式与效应分析在手术室护理质量安全管理中的应用效果评价. 中国药物与临床, 2019, 19(12): 2110-2112.
11. 吕倩, 赖晓全, 徐敏, 等. 基于医疗失效模式与效应分析法的发热门诊医院感染风险管理. 中华医院感染学杂志, 2022, 32(12): 1861-1865.
12. 储艳. 失效模式和效应分析法用于医院药事管理的效果. 临床合理用药杂志, 2022, 15(8): 167-170.
13. 张栌文, 魏万宏, 张艳慧, 等. 基于 Citespace 的医疗失效模式与效应分析相关研究的可视化分析. 现代预防医学, 2022, 49(1): 97-102.
14. 杨冬菊, 覃俊妮, 陈万平, 等. 失效模式与效应分析在我国护理风险管理中的研究进展. 海南医学, 2021, 32(24): 3254-3257.
15. 刘五华. 失效模式与效应分析在防范精神科护理不良事件中的应用. 中国药物与临床, 2021, 21(12): 2144-2146.

West China Medical Journal

Application of failure mode and effect analysis in optimizing the management of specimens from relatives of patients

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