Abstract: Objective To explore the clinical value of implementing dynamic emergency nursing based on the concept of healthcare failure mode and effect analysis (HFMEA) in patients with sudden cerebral hemorrhage. Methods 108 patients with sudden cerebral hemorrhage admitted to Inner Mongolia Autonomous Region People's Hospital from October 2020 to October 2022 were selected as the research subjects, and were divided into two groups according to different intervention methods. The control group (n=54) received routine emergency care, while the observation group (n=54) received dynamic emergency care based on the HFMEA concept. The time required for emergency care, cerebral hemorrhage volume, degree of neurological impairment, prognosis, and incidence of complications were analyzed for the two groups. Results Compared with the control group, the observation group had shorter onset to hospital time, initial treatment time in the emergency department, delivery time to relevant departments, and emergency treatment time (P<0.05). The observation group had less cerebral hemorrhage compared to the control group (P<0.05). After nursing, the National Institutes of Health Stroke Scale (NIHSS) scores decreased in both groups, while the Glasgow Outcome Scale (GCS) scores increased in both groups. The observed group had a more significant change compared to the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion In patients with sudden cerebral hemorrhage, the application of dynamic emergency care based on HFMEA concept can shorten the time required for emergency treatment, reduce the amount of cerebral hemorrhage, alleviate the degree of neurological impairment, reduce the risk of complications, and improve prognosis, which is worthy of clinical promotion.

Key words: sudden cerebral hemorrhage, healthcare failure mode and effect analysis, dynamic emergency nursing, neurological function, prognosis