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Failure mode and effects analysis on the control effect of multi-drug-resistant bacteria in ICU patients
Lixia Lin1, Rui Wang1, Taiming Chen1
1Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Hainan Medical University Haikou 570102, Hainan, China.
Objective:
The failure mode and effect analysis of the prevention and control in intensive care unit (ICU) patients with multi-drug-resistant (MDR) bacterial infection were explored and analyzed in this research.
Methods:
A total of 251 critically ill patients who were hospitalized in the ICU from June to December 2019 were selected as the control group, and another 258 patients who were hospitalized in the ICU from January to June 2020 were set as the observation group. The control-group patients received conventional ICU care, the observation group was treated by the failure mode and effects analysis (FMEA), and then the prevention and control effect of the two nursing modes on multi-drug-resistant bacteria infection in the two groups were compared accordingly.
Results:
The RPN values of the five highest-level factors in the nursing process were critically lower after the improved interventions than before the improvement. The infection rate of MDR bacteria in the observation group was obviously lower than that in the control group (14.73%, 26.69%, χ =11.1233, P=0.0009). In addition, the mortality rate of patients with MDR in the observation group was remarkably lower than that in the control group, and the difference was statistically significant (5.26%, 22.39%, χ =5.2405, P=0.0221). The satisfaction of the observation group with the ICU treatment was critically higher than that of the control group, and the difference was statistically significant (89.53%, 76.49%, χ =15.4094, P=0.0001).
Conclusion:
Through the application of FMEA to prevent MDR bacterial infection in ICU patients, nursing staff can accurately pay attention to the keynotes in nursing process, and as such reduce the proportion and mortality of MDR infection in ICU patients and promote the patients' satisfaction with nursing, which are all worthy of clinical application.
Insights
Failure Mode and Effects Analysis (FMEA) significantly reduced multi-drug-resistant (MDR) bacterial infections and mortality in intensive care unit (ICU) patients. This approach improved patient satisfaction and highlighted key nursing interventions for better outcomes.
Area of Science:
- Healthcare Management
- Infectious Disease Control
- Critical Care Medicine
Background:
- Multi-drug-resistant (MDR) bacterial infections pose a significant threat in intensive care units (ICUs).
- Effective prevention and control strategies are crucial to mitigate patient harm and healthcare costs.
Purpose of the Study:
- To explore and analyze the effectiveness of Failure Mode and Effects Analysis (FMEA) in preventing and controlling MDR bacterial infections in ICU patients.
- To compare the impact of FMEA-guided nursing interventions versus conventional care on infection rates, mortality, and patient satisfaction.
Main Methods:
- A comparative study involving 251 patients in a control group (conventional care) and 258 patients in an observation group (FMEA-guided care) in the ICU.
- Data collected on infection rates, mortality, and patient satisfaction between June 2019 and June 2020.
- Risk Priority Number (RPN) values were assessed to identify critical factors in the nursing process.
Main Results:
- The FMEA group showed a significantly lower MDR bacterial infection rate (14.73% vs. 26.69%) and mortality rate (5.26% vs. 22.39%) compared to the control group.
- Patient satisfaction with ICU treatment was significantly higher in the FMEA group (89.53% vs. 76.49%).
- RPN values for critical nursing factors were substantially reduced post-intervention.
Conclusions:
- FMEA is an effective tool for identifying and addressing critical factors in nursing care to prevent MDR infections in ICUs.
- Implementing FMEA can lead to reduced MDR infection rates, lower mortality, and improved patient satisfaction in critical care settings.
- The findings support the clinical application of FMEA for enhancing patient safety and care quality in ICUs.
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