Application of closed-loop management based on failure mode and effect analysis in intestinal preparation for colonoscopy in inpatients
Objective To explore the influence of closed-loop management based on failure mode and effect analysis(FMEA)on inpatients with colonoscopy.Methods A total of 156 hospitalized patients undergoing colonoscopy in West China Hospital,Sichuan University from July 2022 to August 2023 were selected and they were divided into observation group and control group according to random number table method,with 78 cases in each group.The control group implemented routine management,and the observation group implemented closed-loop management based on FMEA.The qualified rate of bowel preparation,colonoscopy time,and endoscopic comfort(pain status and sedation effect score)were compared be-tween the two groups.The cognitive scores of colonoscopy at admission and before examination and the total incidence of adverse reactions were compared between the two groups.Results The qualified rate of intestinal preparation in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).The colonoscopy entry time ann overall examination time of the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).The pain status and sedation effect scores of the observation group were lower than those of the control group,and the differences were statistically significant(P＜0.05).At admission,there was no significant difference in colonoscopy cognitive scores between the two groups(P＞0.05).Before examination,the cognitive score of colonoscopy in the two groups was higher than that at admission,and the observation group was higher than the control group,the differences were statistically sig-nificant(P＜0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statis-tically significant(P＜0.05).Conclusion Closed-loop management based on FMEA can significantly enhance the qualified rate of intestinal prepa-ration in inpatients,and it can also shorten the examination time and improve the comfort of patients.
ColonoscopyIntestinal preparationFailure mode and effect analysisClosed-loop managementQualified rate of intestinal preparation
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