Application of HFMEA in PICC Nursing Management in Neonatal Surgery
Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v1i1.212
Abstract
Objective — To explore the application effect of healthcare failure mode and effect analysis (HFMEA) in PICC nursing management in neonatal surgery. Methods — Select 130 children who were treated in our department from January 2018 to February 2019. All children were given PICC puncture and catheterization, and the children were randomly divided into control group and observation group. The control group was given routine care, and the experimental group was given failure mode and effect analysis on the basis of the control group. Discover potential evaluation defects of failure modes, improper selection of blood vessels, imprecise selection of measurement methods, maintenance defects, etc., and implement improvement measures. The success rate of one-time catheterization, membrane replacement time, indwelling time, and incidence of PICC-related complications were compared between the two groups of children. Results — The success rate of one-time catheterization was higher and membrane replacement time was longer in the experimental group than those in the control group (P<0.05); the incidence of PICC-related complications in the experimental group was lower than that in the control group (P<0.05). Conclusion — Through teamwork, HFMEA has prospectively discovered and solved the problems in the use of PICC catheterization and achieved continuous improvement in the quality of care.
Keywords
healthcare failure mode and effect analysis, neonates, PICC nursing, nursing management
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