Impact of the structured risk management model on emergency digestive endoscopy safety

Background: Emergency digestive endoscopy is essential for diagnosing and treating acute conditions such as upper gastrointestinal bleeding and biliary obstruction in the emergency department. However, the urgent and unpredictable nature of these cases poses challenges to nursing care, particularly in maintaining patient safety and ensuring timely and efficient procedures. Failure Mode and Effects Analysis (FMEA) is a structured risk management approach which can be of help in these situations. Methods: This retrospective analysis included 105 patients who underwent emergency digestive endoscopy in the emergency department between October 2022 and October 2024. The patients were divided into a group which received FMEA-enhanced nursing (n = 55) and a control group (n = 50, conventional nursing), and collected data included adverse event rates, nursing quality scores and procedure-related efficiency indicators. Results: The observation group demonstrated lower rates of adverse events and higher nursing quality scores than the control group (both p < 0.05). Moreover, the procedure completion time was significantly reduced in the observation group (p < 0.05). Conclusions: The FMEA risk management model can effectively improve nursing safety and procedural efficiency in emergency digestive endoscopy, offering a valuable strategy to enhance acute care delivery in emergency department settings.

Emergency endoscopy; FMEA risk management; Acute care nursing; Procedural efficiency; Risk score; Safety

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