Application of failure mode and effects analysis mode in risk management of pediatric outpatient and emergency intravenous indwelling needles
失效模式和效应分析模式在儿科门急诊静脉留置针风险管理中的应用

摘要

目的 探讨失效模式与效应分析（FMEA）在儿科门急诊静脉留置针风险管理中的应用效果。方法 本研究的样本来源于2024年5月至2025年5月儿科门急诊收治的150例静脉留置针患儿，使用随机分组法分为两组，对照组共计75例，采用常规护理。观察组75例，采用FMEA管理。对比两组并发症发生率以及心脏功能（NT-proBNP、cTnT、CK-MB）。结果 观察组并发症发生率低于对照组（P<0.05）。观察组NT-proBNP、cTnT、CK-MB低于对照组（P<0.05）。结论 FMEA管理可有效降低儿科门急诊静脉留置针患儿静脉炎发生率，改善心脏功能，值得临床推广应用。

Abstract

Objective To explore the application effect of Failure Mode and Effects Analysis (FMEA) in risk management of intravenous indwelling needles in pediatric emergency departments.
Methods The sample of this study was obtained from 150diatric patients with intravenous indwelling needles admitted to the pediatric outpatient department from May 2024 to May 2025, who were randomly divided into two groups. The control group consisted of 75ases and received routine nursing care. Observation group of 75ases, managed by FMEA. Compare the incidence of complications and cardiac function (NT proBNP, cTnT, CK-MB) between two groups.
Results The incidence of complications in the observation group was lower than that in the control group (P<0.05). The observation group had lower levels of NT proBNP, cTnT, and CK-MB than the control group (P<0.05).
Conclusion   FMEA management can effectively reduce the incidence of phlebitis in pediatric patients with intravenous indwelling needles, improve cardiac function, and is worthy of clinical promotion and application.