Vázquez-Valencia Agustín, Santiago-Sáez Andrés, Perea-Pérez Bernardo, Labajo-González Elena, Albarrán-Juan Maria Elena
J Perianesth Nurs. 2017 Feb;32(1):28-37. doi: 10.1016/j.jopan.2015.03.014. Epub 2016 May 17.
The objective of the study was to use the Failure Mode and Effect Analysis (FMEA) tool to analyze the technique of secretion suctioning on patients with an endotracheal tube who were admitted into an intensive care unit.
Brainstorming was carried out within the service to determine the potential errors most frequent in the process. After this, the FMEA was applied, including its stages, prioritizing risk in accordance with the risk prioritization number (RPN), selecting improvement actions in which they have an RPN of more than 300.
We obtained 32 failure modes, of which 13 surpassed an RPN of 300. After our result, 21 improvement actions were proposed for those failure modes with RPN scores above 300.
FMEA allows us to ascertain possible failures so as to later propose improvement actions for those which have an RPN of more than 300.
本研究的目的是使用失效模式与效应分析（FMEA）工具，对入住重症监护病房的气管插管患者的分泌物抽吸技术进行分析。
在该服务范围内进行头脑风暴，以确定该过程中最常见的潜在失误。在此之后，应用FMEA，包括其各个阶段，根据风险优先数（RPN）对风险进行排序，选择RPN大于300的改进措施。
我们获得了32种失效模式，其中13种超过了RPN 300。根据我们的结果，针对RPN得分高于300的那些失效模式提出了21项改进措施。
FMEA使我们能够确定可能的失误，以便随后针对RPN大于300的失误提出改进措施。
