Using HealthCare Failure Mode and Effect Analysis™:To Reduce Facial Pressure Injury of Non-invasive Positive Pressure Ventilation Patients

Introduction: Non-invasive positive pressure ventilation (NIPPV) is provided through a face mask or nasal mask pressure ventilation of the lungs mechanically ventilated patients spread, to achieve the goal of supporting alveolar ventilation and improve gas exchange, avoiding complications caused by endotracheal intubation. The face mask or nasal mask must be in close contact with the skin to avoid excessive air leakage resulting in poor treatment. Long-term use, in addition to the effect of comfort givers, facial pressure injury is the most common complication. Therefore, use HFMEA™ and propose improvement programs to reduce facial pressure injury of NIPPV Patients. Methods: Using healthcare failure mode and effect analysis( HFMEA™) to analyzed the NIPPV processes and subsequently determined the processes and risk priority number (RPN). Results: Before using HFMEA™, the facial pressure injury daily rates incidence:1.109%, after using HFMEA™, the facial pressure injury daily rates:0.317%, progressive rate:71.4%. Conclusions: The application of healthcare failure mode and effect analysis can reduce the facial pressure injury incidence of non-invasive positive pressure ventilation Patients. Keywords: Healthcare Failure Mode and Effect Analysis(HFMEA™)、Non-invasive Positive Pressure Ventilation(NIPPV)、Facial Pressure Injury