Volume 22 Issue 7
Jul.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(7): 1256-1259
ZHOU Yinchan, XU Xiaojuan, LIU Huirong, LI Chengnyu, LI Ding, ZHANG Leyi. Application of failure mode and effect analysis in risk prevention of complications at lithotomy site under general anesthesia[J]. Chinese Journal of General Practice, 2024, 22(7): 1256-1259. doi: 10.16766/j.cnki.issn.1674-4152.003611
Citation: ZHOU Yinchan, XU Xiaojuan, LIU Huirong, LI Chengnyu, LI Ding, ZHANG Leyi. Application of failure mode and effect analysis in risk prevention of complications at lithotomy site under general anesthesia[J]. Chinese Journal of General Practice, 2024, 22(7): 1256-1259. doi: 10.16766/j.cnki.issn.1674-4152.003611
shu

Application of failure mode and effect analysis in risk prevention of complications at lithotomy site under general anesthesia

doi: 10.16766/j.cnki.issn.1674-4152.003611

  • Department of Health Management Center, Chun ' an Branch of Zhejiang Provincial People ' s Hospital, Hangzhou, Zhejiang 311700, China

Funds:

 2022ZH008

 B20210593

  • Received Date: 2023-09-28
    Available Online: 2024-09-05
    Abstract
  •   Objective  In order to reduce the risk of operation-related complications in patients undergoing lithotomy under general anesthesia, this study applied failure mode and effects analysis (FMEA) to lithotomy under general anesthesia, and explored its clinical value in preventing the risk of complications in lithotomy under general anesthesia.  Methods  From January 2022 to September 2022, 200 patients who underwent lithotomy under general anesthesia in the normal mode at the Health Management Center of Chun ' an Branch of Zhejiang Provincial People ' s Hospital, were selected as the control group. From October 2022 to June 2023, 200 patients who underwent lithotomy under general anesthesia in the FMFA mode were enrolled in the observation group. The incidence of complications related to surgical position, patient comfort, and doctor satisfaction between the two groups were compared.  Results  The incidence rates of venous thrombosis and fascial compartment hypertension in the observation group were 2.00% (4/200) and 1.50% (3/200), respectively, which were lower than those in the control group [6.00% (12/200), 5.50% (11/200), χ2=4.167, 4.737, P < 0.05]. However, the incidence of circulatory system changes and peripheral nerve injury in the observation group were lower than that in the control group, with no significant difference (P>0.05). The comfort level of the patients in the observation group was higher than that in the control group (P < 0.05). The satisfaction score of doctors in the observation group was higher than that in the control group (P < 0.05). There was no significant difference between the observation group and the control group in the satisfaction score of waiting time for surgery (P>0.05).  Conclusion  FMEA nursing mode effectively reduces complications related to the position of lithotomy under general anesthesia, improves the comfort of patients, and boosts the satisfaction of doctors with patient safety during surgery. Its widespread application in clinics is highly recommended.

     

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