Application of quality control management measures based on SHEL accident analysis method in pre-hospital emergency care for patients with acute myocardial infarction
Ma Hongchun
Wang Ying
Abstract：Objective To study the application effect of quality control management measures based on SHEL accident analysis in pre-hospital emergency care for patients with acute myocardial infarction.Methods A total of 96 patients with acute myocardial infarction admitted to the Emergency Medicine Department of our hospital from December 2023 to December 2024 were selected and divided into Group A(48 cases from December 2023 to May 2024)and Group B(48 cases from June 2023 to December 2024)based on the admission time.There was no statistically significant difference in the general data between the two groups of patients(P>0.05).In group A the conventional pre-hospital emergency care was implemented,and in group B the quality control management measures based on the SHEL accident analysis method was applied in addition to the emergency care in group A.The two groups were compared in terms of the pre-hospital ambulance care effect after the intervention(response time,pre-hospital emergency time,first electrocardiogram time),the total incidence of errors and accidents during the intervention period,as well as the quality of nursing care and patients'satisfaction with nursing care after the intervention.Results Compared with group A after the intervention,group B had shorter response time[(1.78±0.52)min vs.(2.45±0.57)min,t=6.016,P<0.05],pre-hospital emergency time[(25.76±5.64)min vs.(34.25±5.59)min,t=7.407,P<0.05],and first electrocardiogram time[(14.74±3.48)min vs.(18.36±4.23)min,t=7.407,P<0.05](all P<0.05).During the intervention period,the total incidence of errors and accidents in group B was lower than that of Group A(20.83%vs.6.25%,χ2=4.360,P<0.05).And after the intervention period,the quality of care and satisfaction with care of group B were both higher than those of Group A(both P<0.05).Conclusion The quality control management intervention based on SHEL accident analysis method is beneficial to improve the pre-hospital emergency care effect of patients with acute myocardial infarction,reduce the occurrence of errors and accidents during the intervention period,and improve the quality of care and the patients'satisfaction,which is worthy of reference.
Keywords：Acute myocardial infarctionSHEL accident analysis methodQuality control managementPre-hospital emergency careEffect of ambulance care
Publication Date：2025-06-20
Online Publishing Date：2025-12-22(First online date of this platform, not the publication date of the document)
Pages：5( 45-49 )