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| Application of quality control nursing based on FMEA model in operating room nursing of patients undergoing gastrointestinal surgery#br# |
| SHI Hongling XIA Taoxian DENG Lili |
| Department of Operating Room, Affiliated Hospital of West Anhui Health Vocational College, Anhui Province, Lu’an 237000, China |
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Abstract Objective To explore the application effect of failure mode and effect analysis (FMEA) model of quality control nursing in the operation room nursing of patients with gastrointestinal surgery. Methods In April 2019, the Affiliated Hospital of West Anhui Health Vocational College applied the quality control nursing based on FMEA model to the operating room nursing of patients undergoing gastrointestinal surgery. Apply FMEA theory to find out the failure mode that may exist in the nursing process, formulate corrective measures, and assist and guide clinical medical staff to implement. A total of (65 cases) of FMEA model based quality control nursing before implementation (January 2018 to March 2019) were selected as the control group and (120 cases) of patients undergoing gastrointestinal surgery after implementation (April 2019 to March 2021) were selected as the study group. The related surgical indicators, postoperative complication rate and nursing satisfaction were compared between the two groups. Results The risk priority index was calculated, five failure modes were determined to be rectified, and the corresponding quality care rectification measures were proposed based on the FMEA model. The operative time, postoperative first exhaust time, and hospitalization time in the study group were significantly shorter than those in the control group, the differences were statistically significant (P ＜ 0.05). The incidence of postoperative complications in the study group was significantly lower than that in the control group, and nursing satisfaction was significantly higher than that in the control group, the difference was statistically significant (P ＜ 0.05). Conclusion The quality control nursing based on FMEA model standardizes the operating room nursing system and process of patients with gastrointestinal surgery, reduces the incidence of postoperative complications and improves patient satisfaction, which is worthy of clinical promotion.
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