Journal of Modern Nursing MedicineJPCNS

Objective To explore the establishment and application of failure mode and effects analysis in reducing PICC catheter-related bloodstream infections in newborns. Methods Sixty newborns who underwent PICC catheterization in the neonatal intensive care unit of our hospital throughout 2024 were selected as the analysis subjects. According to the differences in nursing modes, they were grouped according to the random number table method. The control group received risk management using conventional nursing methods, while the observation group received risk management using failure mode and effect analysis on the basis of conventional nursing. Compare the incidence of CRBSI between two groups. The retention time of two groups of catheters and the satisfaction level of nursing services among two groups of family members were measured and compared. Results Compared with the control group, the incidence of central catheter-related bloodstream infections (CRBSI) in the observation group was significantly reduced (p<0.05). Compared to the control group, the observation group had significantly longer catheter retention time (p<0.05). The nursing satisfaction of the observation groups family members was significantly improved compared to the control group (p<0.05). Conclusion The use of failure mode and effects analysis strategies to manage risks during neonatal PICC catheterization can effectively identify high-risk failure modes, significantly reduce the incidence of CRBSI by developing and implementing targeted preventive measures, optimize nursing service quality and satisfaction, and is worthy of wide adoption and promotion in the clinical field.

Failure mode and effects analysis; Newborn; PICC catheter; Catheter-related bloodstream infection; Risk management