Practical aspects of the use of HFMEA tool in risk management of pediatric emergency department: A scrutiny in Iran
Yasamin Molavi-taleghani1, Asma Abdollhayar2, Mahmoud Nekoei-moghadam3, Hojjat Sheikhbardsiri41Health Management and Economics Research Center, Faculty of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran.2Master Of Science In Nursing Orientation (internal And Surgical), Ward Nicu, Hospital Afzalipour, Kerman University Of Medical Sciences, Kerman, Iran
3Research Center For Health Services Management, Institute For Futures Studies In Health, Kerman University Of Medical Sciences, Kerman, Iran
4Department Of Emergency Operation Center (eoc), Disasters And Emergencies Management Center, School Of Medicine, Kerman University Of Medical Sciences, Kerman.
INTRODUCTION: Emergency department is one of the most challenging wards of the hospital for studying about patient safety and prevention of treatment errors is the basic rule in the quality of health care. The present study was conducted to evaluate the selected risk processes of pediatric emergency of Qaem Educational Hospital in Mashhad by the Healthcare Failure Mode and Effects Analysis (HFMEA) methodology.
METHODS: A mixed method was used to analyze failure modes and their effects with HFMEA.five high-risk processes of the pediatric emergency were identified and analyzed. To classify failure modes; nursing errors in clinical management model, for classifying factors affecting error; approved model by the UK National Health System, and for determining solutions for improvement; Theory of Inventive Problem Solving, were used.
RESULTS: In 5selected processes, 28steps, 80sub-processes and 254 potential failure modes were identified with HFMEA.37 (14.5%) failure modes as the high risk errors were detected and transferred to the decision tree. The most and the least failure modes were placed in the categories of care errors 62.3% and knowledge and skill 8.1%, respectively.Also,23.6% of preventive measures were in the category of human resource management strategy.
DISCUSSION AND CONCLUSION: Using the proactive method of HFMEA for identifying the possible failure of treatment procedures, determining the effective cause on each failure mode and proposing the improvement strategies, has a high efficiency and effectiveness.
Practical aspects of the use of HFMEA tool in risk management of pediatric emergency department: A scrutiny in Iran
Yasamin Molavi-taleghani1, Asma Abdollhayar2, Mahmoud Nekoei-moghadam3, Hojjat Sheikhbardsiri41Health Management and Economics Research Center, Faculty of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran.2Master Of Science In Nursing Orientation (internal And Surgical), Ward Nicu, Hospital Afzalipour, Kerman University Of Medical Sciences, Kerman, Iran
3Research Center For Health Services Management, Institute For Futures Studies In Health, Kerman University Of Medical Sciences, Kerman, Iran
4Department Of Emergency Operation Center (eoc), Disasters And Emergencies Management Center, School Of Medicine, Kerman University Of Medical Sciences, Kerman.
GİRİŞ ve AMAÇ: Emergency department is one of the most challenging wards of the hospital for studying about patient safety and prevention of treatment errors is the basic rule in the quality of health care. The present study was conducted to evaluate the selected risk processes of pediatric emergency of Qaem Educational Hospital in Mashhad by the Healthcare Failure Mode and Effects Analysis (HFMEA) methodology.
YÖNTEM ve GEREÇLER: A mixed method was used to analyze failure modes and their effects with HFMEA.five high-risk processes of the pediatric emergency were identified and analyzed. To classify failure modes; nursing errors in clinical management model, for classifying factors affecting error; approved model by the UK National Health System, and for determining solutions for improvement; Theory of Inventive Problem Solving, were used.
BULGULAR: In 5selected processes, 28steps, 80sub-processes and 254 potential failure modes were identified with HFMEA.37 (14.5%) failure modes as the high risk errors were detected and transferred to the decision tree. The most and the least failure modes were placed in the categories of care errors 62.3% and knowledge and skill 8.1%, respectively.Also,23.6% of preventive measures were in the category of human resource management strategy.
TARTIŞMA ve SONUÇ: Using the proactive method of HFMEA for identifying the possible failure of treatment procedures, determining the effective cause on each failure mode and proposing the improvement strategies, has a high efficiency and effectiveness.
Corresponding Author: Hojjat Sheikhbardsiri, Iran
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