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| Application of HFMEA in prevention of pulmonary infection in patients with severe craniocerebral injury after tracheotomy |
| SONG Lingxia ZHANG Yongmei▲ ZHOU Ting |
| Department of Nursing, Affiliated Hospital of Zunyi Medical College, Guizhou Province, Zunyi 563003, China |
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Abstract Objective To investigate the effect of healthcare failure mode and effect analysis (HFMEA) on the prevention of pulmonary infection in patients with severe craniocerebral injury after tracheotomy. Methods A total of 100 patients with severe craniocerebral injury who underwent tracheotomy in Department of Neurosurgery, Affiliated Hospital of Zunyi Medical University from January to December 2018 were selected as the experimental group, HFMEA nursing management mode was implemented. A total of 100 patients with severe craniocerebral injury undergoing tracheotomy from January to December 2017 were selected as the control group, and routine nursing management mode was implemented. The incidence of pulmonary infection and patient satisfaction were compared between the two groups. Results The incidence of pulmonary infection in the experimental group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05); the satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The HFMEA model was used to analyze the causes of pulmonary infection in patients with severe craniocerebral injury after tracheotomy, and the improvement scheme was formulated and implemented, which could effectively reduce the incidence of infection.
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