Role of HFMEA in preventing unplanned extubation in patients with closed thoracic drainage
Objective To explore the role of healthcare failure mode and effect analysis(HFMEA)in preventing unplanned extubation in patients with closed thoracic drainage.Methods A total of 289 patients with closed thoracic drainage tube indwelling in our hospital from January 2019 to October 2021 were selected as the control group,and 188 patients with closed thoracic drainage tube indwelling in our hospital from November 2021 to June 2022 were selected as the experimental group.Both groups received routine nursing,and the experimental group received HFMEA on this basis.The incidence of unplanned extubation,hospitalization time,hospitalization expenses,satisfaction and comfort were compared between the two groups.Results The incidence of unplanned extubation in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the experimental group was shorter than that of the control group,and the hospitalization expenses was lower than that of the control group,and the differences were statistically significant(P<0.05).The satisfaction of the experimental group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of physiology,psychology,social culture,environment and total score in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion HFMEA can improve comfort,reduce the incidence of unplanned extubation,shorten hospitalization time and improve satisfaction in patients with closed thoracic drainage,which has high clinical application value.
healthcare failure mode and effect analysisclosed thoracic drainageunplanned extubation
万方数据
维普
