Failure mode analysis (FMEA) was used to optimize the standard rate of emergency treatment for diabetic ketoacidosis
基于失效模式分析（FMEA）优化糖尿病酮症酸中毒抢救流程达标率

摘要

目的 观察分析基于失效模式分析优化抢救流程在糖尿病酮症酸中毒患者中的应用效果和应用价值。方法 选择院内就诊的60例糖尿病酮症酸中毒患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以就诊时间为基础分组方式，分为对照、实验两个小组，分别实施常规抢救、基于失效模式分析优化抢救流程。收集分析抢救效果。结果 与对照组（常规抢救）相比，实验组（基于失效模式分析优化抢救流程）血糖恢复正常时间、酸中毒情况改善时间、尿酮转阴时间更短，并发症发生率更低，抢救流程达标率更高，空腹血糖、餐后2小时血糖、糖化血红蛋白、血肌酐水平更低，生活质量评分更高，差异具有统计学意义（P<0.05）。结论 基于失效模式分析优化抢救流程可以有效优化抢救流程提升流程达标率，减少并发症发生率，促进糖尿病酮症酸中毒患者症状改善，提高生活质量促进恢复，有较高应用价值。

Abstract

Objective Observe and analyze the application effect and application value of optimizing the rescue process in patients with diabetic ketoacidosis, based on failure mode analysis.
Methods 60 patients with diabetic ketoacidosis (sample number: 60 cases; sample inclusion time: May 2023 to May 2024) were selected, and divided into two groups: control and experiment, to implement routine rescue and optimized rescue process based on failure mode analysis. Collect and analyze the rescue effect.
Results Compared with the control group (conventional rescue), the experimental group (based on failure mode analysis) had normal time, shorter acidosis time, lower complications, higher success rate, lower fasting blood glucose, 2-hour postprandial blood glucose, glycated hemoglobin and creatinine level, higher quality of life score, and significant difference (P <0.05).
Conclusion   Optimizing the rescue process based on failure mode analysis can effectively optimize the rescue process, improve the rate rate of complications, promote the symptoms of diabetic ketoacidosis patients, improve the quality of life and promote recovery, which has high application value.