Application of failure mode and effect analysis in the reengineering of critically ill patients in emergency department

Objective To analyze the application effect and value of failure mode and effect analysis (FMEA) in the reengineering of critically ill patients in emergency department. Methods A retrospective analysis was performed using clinical data from 600 patients who were transferred from Emergency Department,the Central Hospital of Xuzhou from January 2017 to December 2018. Then, 289 patients who were transferred by traditional methods from January 2017 to December 2017 were included in the control group. Meanwhile,311 patients who were optimally transported under FMEA from January 2018 to December 2018 were included in the observation group. The differences in transit time, adverse events during transit, and patient satisfaction were compared between the two groups. Results The incidence of adverse events in the observation group was significantly lower than that in the control group (P<0.05), and the transit time in the observation group was significantly shorter than that in the control group (P<0.05). The patient satisfaction rate in the obseration group was significantly higher than that in the control group (P< 0.05). Conclusions The application of failure mode and effect analysis in emergency critical patients transfer process reengineering can effectively prevent adverse events, shorten hospital transfer time, improve patients’ satisfaction with nursing services, and has significant clinical application value.