Optimization of emergency process with the HFMEA tool and effects assessment among lumbar surgery patients with muscle weakness
10.3760/cma.j.issn.1674-2907.2019.21.015
- VernacularTitle:运用HFMEA工具优化腰椎术后患者肌力下降急救流程及其效果评价
- Author:
Guangyu YANG
1
;
Junjuan ZHANG
;
Man JIA
;
Haixin ZHANG
;
Jia LIU
;
Junjie WANG
Author Information
1. 河南省人民医院骨科
- Keywords:
Muscle strength;
Spinal nerves motor function;
Lumbar vertebrae surgery;
Healthcare failure mode and effect analysis;
Nursing assessment
- From:
Chinese Journal of Modern Nursing
2019;25(21):2710-2714
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To optimize the emergency process with the healthcare failure mode and effect analysis (HFMEA) tool among lumbar surgery patients with muscle weakness so as to shorten the first-aid time, standardize doctor-nurse behavior and improve the timely cure rate. Methods? The emergency process from muscle weakness to hematoma evacuation in operating room was optimized based on the HFMEA. From June 2016 to May 2017, a total of 6 lumbar surgery patients with muscle weakness were in control group before optimization. From June 2017 to May 2018, a total of 7 lumbar surgery patients with muscle weakness were in experimental group after optimization. We compared the time from muscle weakness to effective cure of patients between two groups, and the detection rate for lumbar surgery patients with muscle weakness within 6 hours by nurses as well as the misjudgment probability for muscular strength assessment after lumbar surgery by nurses. Results? After implementing optimal process, the time from muscle weakness to effective cure of patients decreased from (23.78±1.95) h to (5.37±0.78) h. The detection rate for lumbar surgery patients with muscle weakness within 6 hours by nurses increased from 33.3% to 100.0%. The misjudgment probability for muscular strength assessment after lumbar surgery by nurses decreased from 12.2% to 4.6%. Conclusions? The application of HFMEA tool can optimize the muscular strength assessment management process for patients after lumbar surgery, standardize doctor-nurse behavior, shorten the first-aid time of muscle weakness and improve the detection rate for muscle weakness within 6 hours so as to guarantee the safety of patients.
