Application of failure mode and effects analysis nursing management in the rescue of critically ill patients in emergency departments
失效模式和效应分析护理管理在急诊危重症患者抢救中的应用

摘要

目的 探究失效模式与效应分析护理管理应用于急诊危重症患者抢救中的效果。方法 选择2025年1月-2025年12月我院急诊科收治100例急诊危重症患者，随机数字表法：对照组和实验组，各50例，对照组常规管理，实验组失效模式与效应分析护理管理，对比两组患者的抢救成功率；有效救治时间、不良事件发生率、急性生理与慢性健康评估Ⅱ（APACHE Ⅱ）评分。结果 实验组抢救成功率高于对照组（P<0.05）；实验组有效救治时间短于对照组，不良事件发生率低于对照组（P<0.05）；实验组患者的APACHE Ⅱ评分低于对照组（P<0.05）。结论 将失效模式与效应分析应用于急诊危重症患者抢救中，既提升了治疗成功率，同时患者的有效救治时间也得到提升，不良事件的发生率进一步下降，使得患者的神经功能得到改善，值得提倡。

Abstract

Objective To explore the effect of Failure Mode and Effects Analysis (FMEA) nursing management in the rescue of emergency critically ill patients.
Methods 100 emergency critically ill patients admitted to the emergency department of our hospital from January 2025 to December 2025 were selected. Using the random number table method: the control group and the experimental group, each consisting of 50 cases. The control group received routine management, while the experimental group received FMEA nursing management. The rescue success rate, effective treatment time, incidence of adverse events, and Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE II) score of the two groups were compared.
Results The rescue success rate of the experimental group was higher than that of the control group (P < 0.05); the effective treatment time of the experimental group was shorter than that of the control group, and the incidence of adverse events was lower than that of the control group (P < 0.05); the APACHE II score of the patients in the experimental group was lower than that of the control group (P < 0.05).
Conclusion   Applying FMEA to the rescue of emergency critically ill patients not only improves the treatment success rate, but also extends the effective treatment time of patients, reduces the incidence of adverse events, and improves the neurological function of patients, which is worthy of promotion.