Application of failure mode and effect analysis in patients undergoing digestive endoscopy

Objective To study the value of failure mode and effect analysis (FMEA) in patients undergoing digestive endoscopy. Methods By convenience sampling, a total of 96 cases undergoing endoscopy admitted in Xinxiang Central Hospital from March 2017 to February of 2019 were selected as the study subjects. The 48 patients enrolled from March 2017 to February 2018 were taken as the control group and given conventional nursing management mode; the other 48 patients enrolled from March 2018 to February 2019 were taken as the observation group and given FMEA management. The two groups were analyzed in the average waiting time for endoscopy examination, recovery time of enterological function after simple examination and compared in terms of the incidence of adverse events regarding nursing safety. Results The RPN value of 12 main failure modes in the observation group after FMEA management was lower than that before FMEA Management with statistical significance (P<0.01) . The average waiting time of endoscopy, the recovery time of gastrointestinal function after endoscopy, the recovery time of gastrointestinal function after endoscopy and the hospitalization time of simple examination in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.01) . The incidence of nursing safety adverse events in the observation group was 4.17% (2/48) , lower than 18.75% (9/48) in the control group, the difference was statistically significant (P<0.05) ; among them, the observation group nursing safety adverse events were mostly drug and diet, while the control group was mainly drug and other categories. Conclusions After FMEA intervention, RPN value of failure mode items decreased significantly, which could promote early recovery of gastrointestinal function, shorten hospitalization time, and reduce the incidence of nursing safety adverse events in the process of endoscopy. Key words: Digestion; Failure mode and effects analysis; Digestive endoscopy examination; Crisis value; Adverse events