Objective To observe the failure mode and effect analysis (FMEA) in preventing pressure injury in patients undergoing total laparoscopic gastric cancer surgery.
Methods A total of 213 patients with gastric cancer undergoing total laparoscopic surgery admitted from April to December 2020 were as study objects. A total of 107 patients admitted from April to September 2020 were included in control group, and 106 patients admitted from October to December 2020 were included in observation group. The control group was routinely treated with surgical nursing cooperation procedures to prevent pressure injury, while the observation group implemented the optimized nursing operation procedures by FMEA for prevention of stress injury. The incidence of pressure injury, the incidence of high-risk failure mode, and the risk priority number (RPN) of the two groups were compared.
Results The RPN scores of six high-risk failure mode (unfamiliar with the procedure of total laparoscopic gastric cancer surgery, no dynamic monitoring of intraoperative itinerant nurses, non-standard use of position pads and anti-pressure injury measures, improper hand placement of intraoperative surgeons and hand-washing nurses, inadequate nursing when the intraoperative position was changed, and non-standard operation of medical personnel when transferring patients) in the observation group were lower than those in the control group (P < 0.05). The incidence rates of six high-risk failure modes and stress injury in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05).
Conclusion FMEA can effectively screen the high-risk failure modes affecting pressure injury in patients undergoing total laparoscopic gastric cancer surgery, optimize the surgical cooperation nursing process, and greatly improve the quality of surgical nursing.
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