Objective In order to reduce the risk of operation-related complications in patients undergoing lithotomy un-der general anesthesia,this study applied failure mode and effects analysis(FMEA)to lithotomy under general anesthe-sia,and explored its clinical value in preventing the risk of complications in lithotomy under general anesthesia.Methods From January 2022 to September 2022,200 patients who underwent lithotomy under general anesthesia in the normal mode at the Health Management Center of Chun'an Branch of Zhejiang Provincial People's Hospital,were select-ed as the control group.From October 2022 to June 2023,200 patients who underwent lithotomy under general anesthesia in the FMFA mode were enrolled in the observation group.The incidence of complications related to surgical position,pa-tient comfort,and doctor satisfaction between the two groups were compared.Results The incidence rates of venous thrombosis and fascial compartment hypertension in the observation group were 2.00％(4/200)and 1.50％(3/200),respectively,which were lower than those in the control group[6.00％(12/200),5.50％(11/200),x2=4.167,4.737,P＜0.05].However,the incidence of circulatory system changes and peripheral nerve injury in the observation group were lower than that in the control group,with no significant difference(P＞0.05).The comfort level of the pa-tients in the observation group was higher than that in the control group(P＜0.05).The satisfaction score of doctors in the observation group was higher than that in the control group(P＜0.05).There was no significant difference between the observation group and the control group in the satisfaction score of waiting time for surgery(P＞0.05).Conclusion FMEA nursing mode effectively reduces complications related to the position of lithotomy under general anesthesia,im-proves the comfort of patients,and boosts the satisfaction of doctors with patient safety during surgery.Its widespread ap-plication in clinics is highly recommended.
Failure mode and effects analysisGeneral anesthesiaLithotomy positionComplication
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