The impact of medical failure mode and effect analysis mode on the emergency response effect of acute ischemic stroke

MI Shumin

Abstract：Objective:To explore the application effect of optimized nursing scheme based on healthcare failure mode and effect analysis(HFMEA)mode in intravenous thrombolysis of acute ischemic stroke(AIS),and to analyze the effect on neurological function.Methods:According to the random coin method,120 patients with AIS intravenous thrombolysis who were treated in hospital from June 2021 to June 2022 were divided into control group(n=60)who received AIS emergency routine first aid process and observation group(n=60)who received optimized nursing based on HFMEA model.The time of admission to completion of each link,neurological function and thrombolysis efficiency were compared between the two groups.After 1 year of follow-up,the prognosis was counted.Results:The time from admission to the completion of the triage,the time from the completion of the triage to the CT examination,the time from the end of the CT examination to the first push of the drug,and the time from admission to the beginning of intra-venous thrombolysis in the observation group were lower than those in the control group(P＜0.05).After 7 days of treatment,the scores of national institutes of health stroke scale,neuron-specific enolase and central nervous system specific protein β in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P＜0.05).The compliance rate,vascular recanalization rate and thrombolytic ef-fective rate of patients in the observation group were higher than those in the control group(P＜0.05).After 1 year of follow-up,the number of cases with no obvious dysfunction and mild disability in the observation group was higher than that in the control group(P＜0.05),and the number of cases with obvious disability was lower than that in the control group(P＜0.05).There was no significant difference in the number of deaths between the two groups(P＞0.05).Conclusion:The optimized nursing program based on HFMEA model can significantly shorten the time of intravenous thrombolysis in AIS patients,promote the improvement of thrombolysis efficiency,and is conducive to the recovery of neurological function and the improvement of prognosis.