Application of failure mode and effect analysis in reducing perioperative deep vein thrombosis of lower extremities in patients with lung cancer

Abstract

Abstract Objective: Cancer-related thrombosis is a leading cause of death in cancer patients, with venous thromboembolism being the most common venous thromboembolism (VTE). There are several risk factors playing a major role in developing venous thromboembolism. Such risk factors are analysed and investigated in the present study. Aim: To investigate the use of failure mode and effect study in minimizing perioperative deep vein thrombosis of the lower limbs in lung cancer patients. Methods: In this study, 80 lung cancer patients from our hospital were randomly assigned as a control group and a study group. The control group receives traditional nursing care, whereas the research group receives FMEA management based on the control group's results. The two groups' failure mode Risk Priority Number (RPN) values, intervention impact, and nursing service satisfaction are compared. Results: The RPN values of the six failure modes were much lower after FMEA adoption than before. The difference was considerable (P<0.01); in the study group, blood flow velocity, DVT incidence, and duration of stay were considerably lower than in the control group. The circumference of the lower limbs of the study group was substantially higher than of the control group, the difference was significant (P<0.01); the study group's nursing care satisfaction was better than that of the control group. Conclusion: The use of failure mode and impact analyses can help prevent perioperative deep vein thrombosis of the lower extremities in lung cancer patients. [Ethiop. J. Health Dev. 2022; 36(3): 00-00] Keywords: failure mode, effect analysis, lung cancer; perioperative period; deep vein thrombosis, lower extremities.