Application effect of FMEA mode combined with quality control management in gastrointestinal surgery
Objective To explore the application effect of failure mode and effects analysis(FMEA)mode combined with quality control management in gastrointestinal surgery.Methods A total of 172 patients who underwent gastrointestinal surgery in our hospital from January 2020 to December 2022 were selected as the research objects.According to the admission time,the patients were divided into routine management group(n=86,quality control management)and combined management group(n=86,FMEA combined quality control management).The operation-related indicators,serum inflammatory factors levels,psychological status,postoperative complications and nursing satisfaction were compared between the two groups.Results The operation time,postoperative first exhaust time,recovery time of normal diet,incision healing time,ambulation time and hospitalization time in the combined management group were shorter than those in the routine management group(P<0.05).At 1 and 5 d after operation,the levels of endothelin(ET),C-reactive protein(CRP)and interleukin-6(IL-6)in the combined management group were lower than those in the routine management group(P<0.05).After operation,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the two groups were lower than those before operation,and those in the combined management group were lower than the routine management group(P<0.05).The total incidence of postoperative complications in the combined management group was significantly lower than that in the routine management group(P<0.05).The nursing satisfaction of the combined management group was significantly higher than that of the routine management group(P<0.05).Conclusion FMEA mode combined with quality control management has positive significance in reducing the risk of gastrointestinal surgery infection and promoting the rapid recovery of patients.
failure mode and effects analysisquality control managementgastrointestinal surgery