Volume 23 Issue 11
Nov.  2025
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LIU Weidong, ZHANG Ling, LAO Caili, YING Liping, ZHOU Yaoying. The influence of emergency process optimization based on the HFMEA model on the treatment quality of patients with severe craniocerebral trauma[J]. Chinese Journal of General Practice, 2025, 23(11): 1982-1986. doi: 10.16766/j.cnki.issn.1674-4152.004274
Citation: LIU Weidong, ZHANG Ling, LAO Caili, YING Liping, ZHOU Yaoying. The influence of emergency process optimization based on the HFMEA model on the treatment quality of patients with severe craniocerebral trauma[J]. Chinese Journal of General Practice, 2025, 23(11): 1982-1986. doi: 10.16766/j.cnki.issn.1674-4152.004274
shu

The influence of emergency process optimization based on the HFMEA model on the treatment quality of patients with severe craniocerebral trauma

doi: 10.16766/j.cnki.issn.1674-4152.004274

  • Emergency Department, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, China

Funds:

 2023KY1245

 2023KY356

  • Received Date: 2025-06-18
    Available Online: 2026-01-07
    Abstract
  •   Objective  To construct an emergency treatment process plan for patients with severe craniocerebral trauma based on the health failure mode and effects analysis (HFMEA) model, aiming to improve the quality of patient treatment.  Methods  A total of 104 patients with severe craniocerebral trauma admitted to the Emergency Department of Shaoxing People's Hospital from April 2023 to April 2025 were selected and grouped according to the order of admission time. The 52 cases admitted from April 2023 to March 2024 were included in the control group and received conventional emergency process intervention, meanwhile, 52 cases admitted to the hospital from April 2024 to April 2025 were included in the observation group. On the basis of the control group, emergency process optimization intervention based on the HFMEA model was given. From the intervention upon admission to 72 hours after admission, the timeliness, operation standardization, treatment effect, incidence of nurse-patient disputes and nursing satisfaction of the two groups were compared.  Results  The triage assessment time, reception waiting time, emergency head CT examination time, time from diagnosis to treatment decision, preoperative preparation time and time from entering the Emergency Department to surgery in the observation group were all shorter than those in the control group (P < 0.05). The compliance rates of airway management [94.23% (49/52) vs.78.85% (41/52)] and intracranial pressure management [88.46% (46/52) vs.71.15%(37/52)] were both higher than those of the control group (P < 0.05). The survival rates at 24 hours and 72 hours after admission were both higher than those of the control group (P < 0.05). The Glasgow Coma Scale (GCS) score 72 hours after admission [(9.09±1.56) points vs. (7.34±1.35) points] was higher than that of the control group (P < 0.05). The incidence of nurse-patient disputes showed no statistically significant difference compared with the control group (P>0.05). The score of nursing satisfaction was higher than that of the control group (P < 0.05).  Conclusion  The optimization of the emergency rescue process based on the HFMEA model can improve the rescue timeliness, operation standardization, treatment quality and nursing satisfaction of patients with severe craniocerebral trauma.

     

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