Application of Health Care Failure Mode and Effects Analysis in CVAD-MARSI Management of Neurocritical Patients
Objective To explore the application effect of health care failure mode and effect analysis(HFMEA)in the management of central venous access devices(CVAD)medical adhesive related skin injury(MARSI)of neurocritical patients.Methods A neurocritical CVAD-MARSI management team was established,197 patients with CVAD admitted to Henan Provincial People's Hospital from March to June 2023 were selected as the control group,and 162 patients with CVAD admitted from July to October 2023 were selected as the observation group.HFMEA was applied to streamline the CVAD-MARSI management process,failure cause analysis was conducted,the risk index was calculate,and effective preventive measures was developed based on the analysis results.The occurrence of CVAD-MARSI between two groups was compared.Results The incidence of CVAD-MARSI in the observation group[2.5％(4/162)]was lower than the control group[14.2％(28/197)](P＜0.05).Conclusion Applying HFMEA to improve the CVAD-MARSI management process in neurocritical patients can reduce the incidence of CVAD-MARSI in critically ill patients.
medical adhesive related skin injuryhealth care failure mode and effect analysiscentral venous catheter
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