Application of healthcare failure mode and effect analysis under the enhanced recovery after surgery concept in perioperative catheter management for lung cancer patients
SHI Yuying
LIU Mengyuan
SHU Panyue
WANG Ying
XIA Hongxiang
ZHOU Jing
MAO Changmin
Abstract：Objective:Under the concept of Enhanced Recovery after Surgery(ERAS),the Medical Failure Mode and Effects Analysis(HFMEA)was applied to optimize the perioperative pipeline management process for lung cancer patients and analyze its application effect.Methods:A multidisciplinary project improvement team integrating medical and nursing care was established to streamline the entire catheter management process,conduct failure mode analysis,calculate risk indices,formulate and implement effective preventive measures.Results:After HFMEA intervention,the awareness rates of ERAS-related knowledge among thoracic surgery nurses,doctors,and anesthesiologists were significantly improved,as was the patient health education awareness rate(P<0.05).The observation group showed significantly higher rates of pain control compliance,early ambulation,and standardized catheter fixation compared to the control group(P<0.05).The incidence of complications was significantly reduced,and the duration of chest tube placement and hospital stay were significantly shortened(P<0.05).Conclusion:Applying HFMEA could identify problems in perioperative catheter management for lung cancer patients,thereby effectively optimizing catheter management strategies,reducing postoperative complication rates,shortening hospital stays,and promoting patient recovery.
Keywords：enhanced recovery after surgery(ERAS)healthcare failure mode and effect analysis(HFMEA)perioperative period of lung cancercatheter management
Publication Date：2026-02-15
Online Publishing Date：2026-03-13(First online date of this platform, not the publication date of the document)
Pages：6( 404-409 )