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| Application Research of Failure Mode and Effect Analysis and the“ 5E” Injury Prevention Strategies in Hospitalized Patients Prevention Management |
| Nursing College of Shanxi Medical University，Taiyuan 030001，China |
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Abstract Objective：To investigate the effective methods of reducing the risk factors of falls in hospitalized patients.Method：According to failure mode and effect analysis（FMEA） method，the management process of fall prevention，failure mode/the reasons of potential risk and risk priority number were analyzed，on the analysis results，the falls prevention management process were improved，and the quality control of fall prevention was adopted. Result：After the implementation of intervention measures and improve the process，the RPN value of six failure mode were decreased compared with before the implementation，the differences were statistically significant（P<0.05），and after the implementation，the incidence of falls in high-risk patients was 0.57%（4/696），which was significantly lower than 3.41%（10/293） before the implementation，the difference was statistically significant（χ2=9.956，P=0.002）.Conclusion：The fall prevention management process which is improved by the combination of“ 5E” injury prevention strategies and FMEA is helpful to reduce the risk of falls among the inpatients，as well as providing experience for addressing the risk factors and reducing the probability of falls.
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