# Ye J. et al., 2026: Using the Medical Failure Mode and Effect Analysis Nursing Plan to Optimise the Surgical Outcomes of Patients Undergoing Extracorporeal Shock Wave Lithotripsy in the Emergency Department: Retrospective Study. Hans-Göran Tiselius Monday, 24 August 2026 77 Hits [ 0 Comments ](https://www.storzmedical.com/en/disciplines/literature-database-blog/database-lithotripsy/ye-j-et-al-2026/?layout=listings#comments) Ye J, Huang J, Wang G, Bai Y, Yang Y. Arch Esp Urol. 2026 Mar;79(2):265-273. [doi: 10.56434/j.arch.esp.urol.20267902.32](https://pubmed.ncbi.nlm.nih.gov/41943695/) ## Abstract Objective: This study aimed to evaluate whether a Healthcare Failure Mode and Effect Analysis (HFMEA)-based nursing plan improves surgical outcomes for patients undergoing emergency extracorporeal shock wave lithotripsy (ESWL) for urinary tract stones. Methods: A retrospective analysis was conducted on 127 patients who underwent ESWL between July 2024 and June 2025. According to the nursing protocol received, the patients were divided into a control group (n = 67) receiving routine emergency perioperative care and an observation group (n = 60) receiving HFMEA nursing. Postoperative recovery indicators, pain levels (at 12, 24 and 48 hours), psychological state, follow-up outcomes and disease knowledge were compared. Results: The two groups had comparable baseline characteristics (p > 0.05). Although the time to first flatus was similar between groups (p > 0.05), stone expulsion time was significantly shorter in the observation group (p < 0.05). Regarding pain, Visual Analog Scale (VAS) scores at 12 hours postoperatively were not significantly different (p > 0.05). However, the observation group reported lower VAS scores at 24 and 48 hours (p < 0.05). Hospital Anxiety and Depression Scale scores decreased in both groups after treatment, with lower scores in the observation group (p < 0.05). No significant difference in 1-month stone clearance rate was found (p > 0.05), but the observation group experienced fewer postoperative complications and demonstrated higher disease knowledge (both p < 0.05). Conclusions: Implementing an HFMEA nursing plan for patients undergoing emergency ESWL may promote recovery, improve mental state, reduce complications and enhance patient education. This strategy warrants clinical promotion. ## 0 #### Comments No comments made yet. Be the first to submit a comment Tuesday, 08 September 2026 I have read and agreed to the [Privacy Policy](https://www.storzmedical.com/javascript:void(0);)