Effect of fine management based on failure mode and effect analysis mode on central venous catheter intervention in intensive care unit
Objective To explore the effect of applying fine management measures based on failure modes and effects analysis(FMEA)mode on central venous catheter placement in intensive care unit(ICU).Methods A total of 106 patients who received central venous catheter placement in ICU of the People's Hospital of Langfang City from November 2020 to November 2021 were included in the study.They were randomly assigned into the control groups(n=53,routine nursing)and the study group(n=53,FMEA mode-based fine management measures+routine nursing).The risk priority number(RPN)for failure mode,nursing quality,complication rate and nursing satisfaction of the two groups were compared.Results The RPN of failure mode in patient factors(119.83±12.21 vs 75.63±7.57),health education(133.45±13.63 vs 83.85±8.36),operation factors of catheterization(113.68±11.26 vs 71.35±7.11),factor of catheter(134.35±13.57 vs 75.07±7.63),operation factors of flushing sealing(98.83±9.92 vs 67.27±6.55),and post-confinement management(108.36±10.05 vs 69.21±6.83)in the study group were significantly lower than those of the control group(P＜0.05).The total scores of emergency nursing ability(96.42±9.55 vs 85.37±8.52),basic nursing level(92.72±9.17 vs 85.21±8.46),service attitude(94.68±9.32 vs 85.32±8.41),patient application score(94.55±9.33 vs 85.42±8.42)and nursing quality(379.42±37.81 vs 341.86±33.62)in the study group were significantly higher than those of the control group(P＜0.05).The complication rate of the study group was significantly lower than that of the control group(5.66％vs 22.64％,P＜0.05).The total satisfaction rate of the study group was significantly higher than that of the control group(96.23％vs 73.58％,P＜0.05).Conclusion The application of FMEA mode-based fine management measures on central venous catheter placement in ICU can reduce the incidence of complications,reduce the RPN of each failure mode,and improve the quality of nursing and nursing satisfaction.
central venous catheterfine managementintensive care unitcomplicationnursing qualityfailure modes and effects
万方数据
维普
