基于HFMEA优化儿童连续性血液净化操作流程

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中图分类号：R197.323;R459.5 文献标识码：B

Abstract Objective To optimize the operational procedures for continuous blood purification in children，reduce unplanned termination of treatment，and ensure the safety of pediatric patients.MethodsThe Healthcare Failure Mode and Efect Analysis （HFMEA）was utilized to review theoperational procedures for continuous blood purification in children.Hazardand decision tree analyses were conducted to identify critical failure modes，analyze rootcauses，and formulate targeted improvement plans.ResultsThe rate of unplanned termination of continuous blood purification in children decreased from 44.6% to 13.0% . The hazard scores for critical failure modes in the improved operational procedures were all lower than those before improvement. ConclusionThe use of HFMEA can effectively optimize the operational procedures forcontinuous blood purificationinchildren，improve the eficacyof blood purification，and ensure the safety of pediatric patients.

Key words Healthcare Failure Mode and Effect Analysis；Children; Continuous Blood Purification； Process Optimiza tion

The First Hospital of Jilin University，Changchun，Jilin，13oo21，China

连续性血液净化（ContinuousBloodPurification，CBP）技术是通过弥散、对流、吸附等原理，缓慢、连续地进行溶质交换和水分清除的血液净化技术的统称[1]。（剩余5946字）