Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1526-1530
LUO Zhipan, TANG Yuxia, REN Chunxia, HU Shaohua, ZHOU Huan, XU Tao. Application of medical failure mode and effect analysis in the safety management of intravenous indwelling needles in pediatric outpatient and emergency care[J]. Chinese Journal of General Practice, 2025, 23(9): 1526-1530. doi: 10.16766/j.cnki.issn.1674-4152.004170
Citation: LUO Zhipan, TANG Yuxia, REN Chunxia, HU Shaohua, ZHOU Huan, XU Tao. Application of medical failure mode and effect analysis in the safety management of intravenous indwelling needles in pediatric outpatient and emergency care[J]. Chinese Journal of General Practice, 2025, 23(9): 1526-1530. doi: 10.16766/j.cnki.issn.1674-4152.004170
shu

Application of medical failure mode and effect analysis in the safety management of intravenous indwelling needles in pediatric outpatient and emergency care

doi: 10.16766/j.cnki.issn.1674-4152.004170
  • 1.

    Department of Pediatrics, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 2020WR02001

  • Received Date: 2024-08-02
    Available Online: 2025-11-17
    Abstract
  •   Objective   To investigate the application value of medical failure modes and effects analysis in the management of intravenous indwelling needles for pediatric outpatients and emergency patients.   Methods   A total of 86 pediatric outpatients aged 5-14 years at the First Affiliated Hospital of Anhui Medical University of Anhui Province from December 2022 to December 2023, requiring intravenous indentation needle puncture treatment were selected as the research objects. They were randomly divided into two groups according to simple number method, 43 children in the observation group received medical failure mode and effect analysis, while 43 children in the control group received routine management. The management outcomes and incidence occurrence of adverse events related to intravenous indwelling needle use were compared and analyzed between the two groups. At the same time, modified behavioral pain scale (MBPS) was used to assess the pain degree during indwelling needle puncture.   Results   The repeat puncture rate was significantly lower in the observation group (9.3%, 4/43) compared to the control group (27.9%, 12/43, P=0.027). The incidence of adverse events was also significantly reduced in the observation group (7.0%, 3/43) compared to the control group (23.3%, 10/43, P=0.035). Additionally, the MBPS pain score in the observation group was significantly lower than that of the control group [4 (3, 5) vs. 5 (4, 6), P < 0.001].   Conclusion   The application of medical failure mode and effect analysis in the safety management of intravenous indwelling needles in pediatric outpatient and emergency departments effectively enhances patient safety and improves the overall medical experience for children.

     

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