Effect of healthcare failure mode and effect analysis management mode on perioperative nursing quality of cancer patients at arm infusion port
10.3760/cma.j.cn115682-20220124-00375
- VernacularTitle:医疗失效模式与效应分析管理模式对肿瘤患者手臂输液港围手术期护理质量的影响
- Author:
Qin LIN
1
;
Zhong YUAN
;
Tongyu WANG
;
Kaiping XIA
;
Yuan HONG
;
Xuying LI
Author Information
1. 湖南省肿瘤医院血管通道中心，长沙 410013
- Keywords:
Neoplasms;
Perioperative period;
Complications;
Arm infusion port;
Failure mode and effect analysis
- From:
Chinese Journal of Modern Nursing
2023;29(5):594-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of healthcare failure mode and effect analysis (HFMEA) management mode on perioperative nursing quality of cancer patients at arm infusion port.Methods:Using the convenient sampling, 68 cancer patients with arm infusion port in Hunan Cancer Hospital from January to October 2020 were selected as the control group, and 84 cancer patients with arm infusion port from November 2020 to August 2021 were selected as the intervention group. The control group followed the hospital's original perioperative safety management of chest wall port and peripherally inserted central catheter (PICC) insertion, while the intervention group adopted the HFMEA management mode for the perioperative safety management of arm infusion port. The risk priority number (RPN) , the occurrence of high-risk failure modes and complications of the two groups were compared.Results:The RPN values of failure modes such as inadequate preoperative evaluation, loss of intraoperative accessories, low puncture position, too short catheter clipping, loose connection between catheter and injection base, catheter positioning after incision suture, and insufficient postoperative health education in the intervention group were lower than those in the control group, with statistical differences ( P<0.05) . The incidence of inadequate preoperative evaluation, inadequate postoperative health education and postoperative complications in the intervention group were statistically lower than those in the control group ( P<0.05) . Conclusions:The HFMEA management mode can reduce the risk of perioperative links of cancer patients at arm infusion port and decrease the incidence of postoperative complications, which is worthy of clinical promotion.
