Title: Using HFMEA to improve the safety management prevention and response of central physiological monitoring system for nursing staff in cardiac intensive care unit
Pei-Chien Lu, Yu-Jen Sie, Li-Ying Chiu
Chang Gung Memorial Hospital, Taiwan
Introduction: The Clinical Alert Safety is one of the annual work goals of the important patient safety of the Ministry of Health and Welfare of the Taiwan Executive Yuan. It is even more important to have a warning in the cardiac intensive care unit. In this study, using the analysis of HFMEA effect, it was determined that the nursing staff in the potential missing procedure had only 68.43% of the awareness of physiological surveillance and the HFMEA hazard index of 228.
Objective: In order to improve the safety management prevention and response to the central physiological monitoring system for the nursing staff of the cardiac intensive care unit, The improving measures: strengthen the on-the-job education and set individuals physiological parameter lists, and establish fool-proofing mechanism to ensure that the warnings can be used individually to avoid the alarms fatigue.
Results: It showed that the nursing staff's safety awareness scores on physiological monitoring alarms increased to 96.43%, which was achieving statistically significant difference (P <0.000), and the hazard analysis index dropped to 116 points.
Conclusion: The use of HFMEA can indeed improve the cognitive and response of nursing staff to physiological surveillance security management.