Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 14, 2022; 10(2): 554-562
Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.554
Impact of failure mode and effects analysis-based emergency management on the effectiveness of craniocerebral injury treatment
Xiao-Lan Shao, Ya-Zhou Wang, Xiong-Hui Chen, Wen-Juan Ding
Xiao-Lan Shao, Ya-Zhou Wang, Xiong-Hui Chen, Wen-Juan Ding, Department of Emergency Surgery Ward 48, First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Shao XL and Wang YZ designed the experiment; Chen XH drafted the work, Chen XH collected the data; Ding WJ and Shao XL analyzed and interpreted data, Wang YZ and Chen XH wrote the manuscript.
Supported by Basic Research on Medical and Health Application of the People's Livelihood Science and Technology Project of Suzhou Science and Technology Bureau, No. SYS2020102.
Institutional review board statement: This study was approved by the Ethics Committee of First Affiliated Hospital of Soochow University.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement, and the manuscript was prepared and revised according to the STROBE Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Juan Ding, BM BCh, Chief Nurse, Department of Emergency Surgery Ward 48, First Affiliated Hospital of Soochow University, No. 188 Shizi Street Gusu District, Suzhou 215000, Jiangsu Province, China. dwjsuzhou@163.com
Received: September 2, 2021
Peer-review started: September 2, 2021
First decision: September 29, 2021
Revised: October 14, 2021
Accepted: November 26, 2021
Article in press: November 26, 2021
Published online: January 14, 2022
Processing time: 131 Days and 19.1 Hours
Abstract
BACKGROUND

Craniocerebral injuries encompass brain injuries, skull fractures, cranial soft tissue injuries, and similar injuries. Recently, the incidence of craniocerebral injuries has increased dramatically due to the increased numbers of traffic accidents and aerial work injuries, threatening the physical and mental health of patients.

AIM

To investigate the impact of failure modes and effects analysis (FMEA)-based emergency management on craniocerebral injury treatment effectiveness.

METHODS

Eighty-four patients with craniocerebral injuries, treated at our hospital from November 2019 to March 2021, were selected and assigned, using the random number table method, to study (n = 42) and control (n = 42) groups. Patients in the control group received conventional management while those in the study group received FMEA theory-based emergency management, based on the control group. Pre- and post-interventions, details regarding the emergency situation; levels of inflammatory stress indicators [Interleukin-6 (IL-6), C-reactive protein (CRP), and procalcitonin (PCT)]; incidence of complications; prognoses; and satisfaction regarding patient care were evaluated for both groups.

RESULTS

For the study group, the assessed parameters [pre-hospital emergency response time (9.13 ± 2.37 min), time to receive a consultation (2.39 ± 0.44 min), time needed to report imaging findings (1.15 ± 4.44 min), and test reporting time (32.19 ± 6.23 min)] were shorter than those for the control group (12.78 ± 4.06 min, 3.58 ± 0.71 min, 33.49 ± 5.51 min, 50.41 ± 11.45 min, respectively; P < 0.05). Pre-intervention serum levels of IL-6 (78.71 ± 27.59 pg/mL), CRP (19.80 ± 6.77 mg/L), and PCT (3.66 ± 1.82 ng/mL) in the study group patients were not significantly different from those in the control group patients (81.31 ± 32.11 pg/mL, 21.29 ± 8.02 mg/L, and 3.95 ± 2.11 ng/mL respectively; P > 0.05); post-intervention serum indicator levels were lower in both groups than pre-intervention levels. Further, serum levels of IL-6 (17.35 ± 5.33 pg/mL), CRP (2.27 ± 0.56 mg/L), and PCT (0.22 ± 0.07 ng/mL) were lower in the study group than in the control group (30.15 ± 12.38 pg/mL, 3.13 ± 0.77 mg/L, 0.38 ± 0.12 ng/mL, respectively; P < 0.05). The complication rate observed in the study group (9.52%) was lower than that in the control group (26.19%, P < 0.05). The prognoses for the study group patients were better than those for the control patients (P < 0.05). Patient care satisfaction was higher in the study group (95.24%) than in the control group (78.57%, P < 0.05).

CONCLUSION

FMEA-based craniocerebral injury management effectively shortens the time spent on emergency care, reduces inflammatory stress and complication risk levels, and helps improve patient prognoses, while achieving high patient care satisfaction levels.

Keywords: Craniocerebral injury; Failure modes and effects analysis theory; Emergency management; Treatment effect

Core Tip: This study investigated the impact of failure modes and effects analysis (FMEA)-based emergency management on craniocerebral injury treatment effectiveness, we conducted a retrospective analysis of the two groups of patients and finally concluded: FMEA-based craniocerebral injury management effectively shortens time spent on emergency care, reduces inflammatory stress and complication risk levels, and helps improve patient prognosis, while achieving high patient satisfaction levels.