{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:58:45Z","timestamp":1785481125891,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Transradial artery coronary angiography (TRA) is widely used for coronary disease diagnosis, but postoperative puncture site bleeding (incidence: 3.1%\u201316.7%) remains a major clinical challenge. Fragmented care and poor multidisciplinary collaboration (MDC) contribute to this issue, while Failure Mode and Effects Analysis (FMEA)\u2014a proactive risk tool\u2014has not been integrated into MDC for TRA bleeding prevention.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To evaluate the efficacy of an FMEA\u2010oriented MDC nursing model on TRA postoperative bleeding, nursing efficiency, and patient outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A single\u2010center randomized controlled trial (RCT) enrolled 280 TRA patients (March 2024 to March 2025), randomized 1:1 to the experimental group (FMEA\u2010oriented MDC care: joint assessment, standardized intraoperative collaboration, graded monitoring) or control group (conventional care). Primary outcome: 24\u2010h bleeding incidence (EAPCI criteria). Secondary outcomes: hemostasis time, length of hospital stay (LOS), healthcare provider\u2010patient satisfaction, and psychological status (SAS\/SDS).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The experimental group had lower 24\u2010h bleeding incidence (4.3% vs. 13.6%,\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n = 7.832,\n p<\/jats:italic>\n \u2009=\u20090.005), shorter hemostasis time (38.2\u2009\u00b1\u20098.5 vs. 54.6\u2009\u00b1\u200910.2\u2009min,\n t<\/jats:italic>\n \u2009=\u200913.264,\n p<\/jats:italic>\n \u2009<\u20090.001) and LOS (3.1\u2009\u00b1\u20090.8 vs. 4.5\u2009\u00b1\u20091.2 days,\n t<\/jats:italic>\n \u2009=\u200910.587,\n p<\/jats:italic>\n \u2009<\u20090.001). Higher satisfaction scores (healthcare provider: 93.5\u2009\u00b1\u20094.2 vs. 77.8\u2009\u00b1\u20096.5; patient: 92.1\u2009\u00b1\u20093.8 vs. 80.5\u2009\u00b1\u20095.3; both\n p<\/jats:italic>\n \u2009<\u20090.001) and lower postoperative SAS\/SDS scores (both\n p<\/jats:italic>\n \u2009<\u20090.001) were observed in the experimental group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The FMEA\u2010oriented MDC model reduces TRA postoperative bleeding, improves nursing efficiency and satisfaction, and alleviates patient anxiety\/depression, providing a standardized clinical solution.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ccd.70789","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:15:14Z","timestamp":1785478514000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Failure Mode and Effects Analysis\u2010Oriented Multidisciplinary Collaborative Nursing Model on Bleeding Prevention and Prognosis in Patients Undergoing Transradial Artery Coronary Angiography: A Randomized Controlled Trial"],"prefix":"10.1002","author":[{"given":"Lingxia","family":"Fan","sequence":"first","affiliation":[{"name":"980th Hospital of the Joint Logistics Support Force of the Chinese People \u2018s Liberation Army Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"Guo","sequence":"additional","affiliation":[{"name":"980th Hospital of the Joint Logistics Support Force of the Chinese People \u2018s Liberation Army Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanzhuo","family":"Ma","sequence":"additional","affiliation":[{"name":"980th Hospital of the Joint Logistics Support Force of the Chinese People \u2018s Liberation Army Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5413-1351","authenticated-orcid":false,"given":"Wei","family":"Li","sequence":"additional","affiliation":[{"name":"980th Hospital of the Joint Logistics Support Force of the Chinese People \u2018s Liberation Army Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"issue":"20","key":"e_1_2_10_2_1","first-page":"3752","article-title":"Analysis of the Correlation Between the Severity of Coronary Artery Disease and the Duration of the R\u2010Wave Peak in Electrocardiograms Among Middle\u2010Aged and Elderly Patients With Non\u2010St\u2010Segment Elevation Acute Coronary Syndrome","volume":"20","author":"Lin Z.","year":"2022","journal-title":"Journal of Integrated Traditional Chinese and Western Medicine for Cardiovascular and Cerebrovascular Diseases"},{"issue":"2","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1007\/s12928-022-00896-6","article-title":"Impact of Radial Compression Protocols on Radial Artery Occlusion and Hemostasis Time in Coronary Angiography","volume":"38","author":"Takamatsu S.","year":"2023","journal-title":"Cardiovascular Intervention and Therapeutics"},{"issue":"1","key":"e_1_2_10_4_1","first-page":"3","article-title":"Evaluation of the Efficacy of Ultrasound\u2010Guided Coronary Intervention via Radial Artery and Dorsal Carpal Artery Puncture","volume":"27","author":"Liang Y.","year":"2020","journal-title":"Chinese Journal of Integrated Traditional and Western Medicine in Emergency Medicine"},{"issue":"3","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000018330","article-title":"Distal Radial Artery Access in the Anatomical Snuffbox for Coronary Angiography and Intervention: A Single Center Experience","volume":"99","author":"Yu W.","year":"2020","journal-title":"Medicine"},{"issue":"10","key":"e_1_2_10_6_1","first-page":"1029","article-title":"Analysis of Bleeding Complications Following Coronary Angiography via a 5F Thin\u2010Wall Sheath Inserted Through the Distal Radial Artery, With 2\u2010Hour Compression of the Puncture Site","volume":"37","author":"Fang C.","year":"2022","journal-title":"Chinese Journal of Recycling"},{"issue":"5","key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"E577","DOI":"10.59958\/hsf.5887","article-title":"Efficacy and Safety of Distal Radial Artery Approach for Coronary Angiography: A Retrospective Study","volume":"26","author":"Chen J.","year":"2023","journal-title":"Heart Surgery Forum"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.47144\/phj.v57i2.2721","article-title":"Radial Artery Compression Comparison for Hemostasis With and Without Steri\u2010Strips Reinforcement: RACC Randomized Trial","volume":"57","author":"Khan K. 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