A Study of a Comprehensive HFMEA-based First-aid Program Applied in the AIS Intravenous Thrombolysis Process
- VernacularTitle:基于HFMEA的综合急救方案在AIS静脉溶栓流程中的应用
- Author:
Lin LIU
1
;
Sheng GUO
;
Hengjuan LIANG
;
Bo YANG
;
Xiaohong HUANG
Author Information
1. 广州中医药大学深圳临床医学院 广东 深圳 518116
- Keywords:
Acute Ischaemic Stroke;
Healthcare Failure Model and Effects Analysis;
intravenous thrombolysis;
process
- From:
Chinese Hospital Management
2024;44(9):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the effectiveness of Healthcare Failure Mode and Effect Analysis(HFMEA)in the intravenous thrombolysis process for patients with Acute Ischemic Stroke(AIS).Methods The targeted and comprehensive emergency care plan was constructed using HFMEA methodology.This plan was then applied to optimize the intravenous thrombolysis process in the target hospitals.Key indicators were evaluated before and after the intervention using t-tests,chi-square tests,and non-parametric tests.Results After the implementation of HFMEA,the mean Risk Priority Number value for the intravenous thrombolysis process in AIS decreased compared to before implementation.Additionally,the rate of intravenous thrombolysis within 4.5 hours of onset increased to 54％.The HFMEA model management group showed an 8％improvement compared to the conventional management group.The median time between patient admission and the start of intravenous thrombolysis door to needle time(DNT)was shorter,hospitalisation costs were lower,and National Institutes of Health Stroke Scale scores were reduced at 1 and 2 weeks post-treatment,as well as at discharge.However,there was no significant difference in the number of hospital days between the two groups.Conclusion The use of HFMEA management tools can effectively improve the intravenous thrombolysis process in patients with AIS.This can increase the rate of reperfusion therapy in AIS,shorten the time to DNT,and improve early neurological function.Additionally,it can promote patient health and reduce the burden on families.
