基于FMEA理论的干预模式在重症颅脑损伤患者急诊入院流程的应用效果

目的 探讨基于FMEA理论的干预模式在重症颅脑损伤患者急诊人院流程的应用效果.方法 选择2019年1月—2020年12月我院收治的重型颅脑损伤患者359例,依据随机数字表法分为两组,实施常规人院模式期间急诊收治的176例患者为对照组;实施FMEA理论指导下入院干预期间收治的重型颅脑损伤患者183例为观察组.对比两组护理...

Application effect of intervention model based on FMEA theory in emergency admission process of patients with severe craniocerebral injury

Objective To explore the application effect of intervention model based on FMEA theory in emergency admission process of patients with severe craniocerebral injury. Methods 359 patients with severe craniocerebral injury admitted to our hospital from January 2019 to December 2020 were divided into two groups according to random number table method, and 176 patients admitted in emergency department during routine admission mode were taken as control group.183 patients with severe craniocerebral injury admitted to hospital under the guidance of FMEA theory were taken as observation group. The nursing service quality of the two groups was compared, and the admission, treatment, hospitalization time and risk priority index (PRN) were counted. Results The incidence of transport accidents and nursing errors in the observation group was 1.09% and 0.55%, which were lower than those in the control group (5.11% and 5.11%, respectively, with statistical significance (χ2=4.883 and 5.321,P=0.027、0.009); In the observation group, the success rate of one puncture was 97.81%, and the nursing satisfaction was 98.36%, which were higher than those in the control group (89.20%, 93.75%, respectively), and the difference was statistically significant (χ2=11.091,5.089,P=0.001,0.024). The admission time, first aid time and hospitalization time in observation group were (26.51±3.52)min, (10.91±1.49)min and (20.88±7.72) d, which were shorter than those in control group (35.45±5.56)min, (12.14±4.90) min and (12.14±4.90) min, respectively.All PRN values in FMEA observation group were<100. Conclusion The intervention model based on FMEA theory can improve the emergency admission process of patients with severe craniocerebral injury, reduce the occurrence of nursing errors, and promote the quality of nursing service and patient satisfaction.