Risk assessment of the selected processes in women’s surgery ward by Healthcare Failure Mode and Effect Analysis (HFMEA) method, 2013
Journal Title: International Research Journal of Applied and Basic Sciences - Year 2015, Vol 9, Issue 4
Abstract
Making sure about patient's safety is the first critical step in care quality improvement. Women's surgery wards are known as the most high risk areas of a hospital. This study is conducted to assess the risk of selected processes in women's surgery ward of Ghaem education and treatment center by Healthcare Failure Mode and Effect Analysis (HFMEA) method in 2013. In this investigation, modes and effects of errors were identified and analyzed quantitatively and qualitatively by healthcare failure mode and effect analysis method. In order to find the cause of errors and determine the approaches to improve, we used “Eindhoven classification model” and the “theory of inventive problem solving” model, respectively.In 5 processes which were selected by voting method using rating, 26 steps, 82 sub processes and 249 potential failure modes were identified by HFMEA. 71 failure modes (28.5%) were identified as high risk failures and were transferred into the decision tree. The cause of failure in 10.4% of cases were related to the technical factors, 42.4% organizational factors, 39.7% human factors and 6.8% other factors.The prospective method of “healthcare failure mode and effect analysis” has a high efficiency in identifying probable failures in therapeutic processes, determining the effective factors of every failure mode and suggesting the approaches to improve women's surgery ward processes.
Authors and Affiliations
Hossein Ebrahimi pour| professor, Health Sciences Research Center, Department of Health Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran., Yasamin Molavi Taleghani *| M.Sc. Student of medical and health services management, Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran., Ali vafaee-najar| professor, Health Sciences Research Center, Department of Health Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran., Marjan Vejdani| M.Sc. in medical and health services management, Social Determinants of Health (SDH) Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran., Akbar Babaei Heydarabadi| Department of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Asghar Ashrafi Hafez| Cancer research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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