Volume 16, Issue 3 (11-2017)
jhosp 2017, 16(3): 57-70 |
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Kavosi Z, Setoodehzadeh F, Fardid M, Gholami M, Khojastefar M, Hatam M, et al . Risk Assessment of the Processes of Operating Room Department using the Failure Mode and Effects Analysis (FMEA) Method. jhosp 2017; 16 (3) :57-70
URL: http://jhosp.tums.ac.ir/article-1-5765-en.html
URL: http://jhosp.tums.ac.ir/article-1-5765-en.html
Zahra Kavosi1 
, Fateme Setoodehzadeh2 , Mozhgan Fardid3 , Maryam Gholami * 4, Marzie Khojastefar5 , Mahbube Hatam6 , Zahra Tahiati7 , Gholamreza Fardid8
, Fateme Setoodehzadeh2 , Mozhgan Fardid3 , Maryam Gholami * 4, Marzie Khojastefar5 , Mahbube Hatam6 , Zahra Tahiati7 , Gholamreza Fardid8
1- Associate professor in Health Services Management, Management Department, School of Medical Management and Information, Shiraz University of Medical Sciences, Shiraz, Iran
2- Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Ph.d Candidate in Health policy، Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- PhD Student of Health Services Management, Center for Development of Clinical Studies, Shiraz University of Medical Science, Nemazee Hospital, Shiraz, Iran (*Corresponding author), Address: first floor,next to Eghbal Lahori Saloon, Center for Development of Clinical Studies, Nemazee Hospital, Shiraz, Fax: 07136474278, Email: ghom5@yahoo.com
5- M.A in Biostatistics, Center for Development of Clinical Studies of Nemazee Hospital, Shiraz, Iran
6- BSc in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran.
7- BSc in Science in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran
8- Operating Room Technician, Shiraz University of Medical Science, Nmazee Hospital, Shiraz, Iran
2- Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Ph.d Candidate in Health policy، Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- PhD Student of Health Services Management, Center for Development of Clinical Studies, Shiraz University of Medical Science, Nemazee Hospital, Shiraz, Iran (*Corresponding author), Address: first floor,next to Eghbal Lahori Saloon, Center for Development of Clinical Studies, Nemazee Hospital, Shiraz, Fax: 07136474278, Email: ghom5@yahoo.com
5- M.A in Biostatistics, Center for Development of Clinical Studies of Nemazee Hospital, Shiraz, Iran
6- BSc in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran.
7- BSc in Science in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran
8- Operating Room Technician, Shiraz University of Medical Science, Nmazee Hospital, Shiraz, Iran
Abstract: (18805 Views)
Background: Reduction of errors is necessary to improve the quality of healthcare, promoting communication between the hospital staff and patients, and decreasing the patient's complaints in hospitals. Due to the high probability of error in the operating room (OR), this study aimed to detect the potential errors in the OR of Nemazee hospital using FMEA.
Materials and Methods: This study was a qualitative one which assessed Failure Mode and effects of OR in six steps using FMEA technique. At First, the OR activities were listed, then the failure modes were recognized. Next, the Risk Priority Number (RPN) of each error was calculated according to the indicators of Occurrence (O), Severity (S) and Detectability (D).
Results: Totally,204 failure modes in 36 activities in five process in surgery ward were recognized.15.7 percent of failure modes classified as high risk factors (RPN ≥ 100). The most and the least distribution of origin factors were related to human and organization and technical errors, respectively.
Conclusion: The majority of errors in OR was set in of human skills category. Besides, the most and the least failure modes were belonged to “patient anesthesia by circular activity number 20, RPN=1795.23)” and “not to oxygenation for patients (the activity number 36, RPN=99.33) respectively. Identification of 36 activities and 204 errors in the 5 processes of Operating Room represents the comprehensiveness of HFMEA method in the identification, classification, evaluation and analysis of the health system errors.
Materials and Methods: This study was a qualitative one which assessed Failure Mode and effects of OR in six steps using FMEA technique. At First, the OR activities were listed, then the failure modes were recognized. Next, the Risk Priority Number (RPN) of each error was calculated according to the indicators of Occurrence (O), Severity (S) and Detectability (D).
Results: Totally,204 failure modes in 36 activities in five process in surgery ward were recognized.15.7 percent of failure modes classified as high risk factors (RPN ≥ 100). The most and the least distribution of origin factors were related to human and organization and technical errors, respectively.
Conclusion: The majority of errors in OR was set in of human skills category. Besides, the most and the least failure modes were belonged to “patient anesthesia by circular activity number 20, RPN=1795.23)” and “not to oxygenation for patients (the activity number 36, RPN=99.33) respectively. Identification of 36 activities and 204 errors in the 5 processes of Operating Room represents the comprehensiveness of HFMEA method in the identification, classification, evaluation and analysis of the health system errors.
Type of Study: Original Article |
Subject:
کیفیت خدمات و ایمنی بیمار در بیمارستان
Received: 2017/01/22 | Accepted: 2017/10/7 | Published: 2017/10/28
Received: 2017/01/22 | Accepted: 2017/10/7 | Published: 2017/10/28
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