Development and effect evaluation of nurse-led emergency cerebral ischemia-reperfusion procedure
10.3761/j.issn.0254-1769.2017.04.014
- VernacularTitle:护士主导的急性缺血性脑卒中患者血管再通流程的优化及效果评价
- Author:
Lin ZHANG
;
Xiaoping ZHU
;
Xianliang LIU
;
Qian WU
;
Xiao SUN
;
Li ZENG
;
Jinxia JIANG
;
Yan SHI
- Keywords:
Healthcare Failure Mode and Effect;
Cerebrovascular Trauma;
In-hospital Delays
- From:
Chinese Journal of Nursing
2017;52(4):449-453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To optimize the cerebral ischemia-reperfusion process for acute ischemic stroke patients,so as to reduce the time of in-hospital delays.Methods A multi-disciplinary management team was established to design the flowchart of the cerebral ischemia-reperfusion process for acute ischemic stroke patients.By applying Healthcare Failure Mode and Effect(HFMEA) management mode,intervention was conducted and its effect was analyzed.Results After implementation of the HFMEA intervention,the door to needle time(DNT)was reduced from 88 (42,140) minutes to 45 (37,59) minutes(P＜0.001);the ratio of patients with the DNT＜60 minutes increased from 20％ to 87.7％(P＜0.001);the door to cerebral ischemia-reperfusion time was shortened from 207(169,227) minutes to 165(155,185) minutes (P＜O.05).There was no significant difference in the incidence and mortality of symptomatic cerebral hemorrhage between before and after intervention (P＞0.05).Conclusion Utilization of HFMEA to optimize the emergency cerebral ischemia-reperfusion process can effectively reduce the in-hospital delays of acute ischemic stroke patients.
