Journal of Modern Nursing MedicineJPCNS

Objective To explore the application of failure mode and effect analysis (FMEA) in reducing the puncture site complications of patients undergoing cerebral angiography via the radial artery approach. Method 147 patients with ischemic cerebrovascular disease who underwent whole brain angiography at Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine from February 2021 to September 2022 were selected as the study subjects. They were divided into a control group (73 cases) and an intervention group (74 cases). The control group received routine TCA care, while the intervention group used FMEA risk management mode on the basis of the control group. The complications at the puncture site were compared between the two groups, The degree of pain in the punctured limbs after surgery. Result The incidence of complications at the puncture site in the intervention group was lower than that in the control group (p<0.05), and the degree of postoperative limb pain during puncture was lower than that in the control group (p<0.05), with statistically significant differences. Conclusion FMEA risk management model was used to analyze the failure mode, causes and consequences of puncture site complications that may lead to TCA patients in the nursing process. The implementation of targeted nursing measures can significantly reduce the incidence of puncture site complications of patients, the degree of pain in the puncture limbs after surgery, ensure the safety of patient safety, and improve the quality of care.

FMEA；cerebral angiography; Radial artery; Complications