DOI QR코드

DOI QR Code

A Study on Failure Mode and Effect Analysis (FMEA) for Preoperative Risk Prevention

오류유형 영향분석(FMEA)을 적용한 수술준비 위험예방활동의 효과

  • Received : 2016.04.26
  • Accepted : 2016.10.08
  • Published : 2016.12.31

Abstract

Purpose: The purpose of this research was to provide patients with safe preoperative preparatory procedures by removing any risk factors from the preparatory procedures by using failure mode and effects analysis, which is a prospective risk-managing tool. Methods: This was a research design in which before and after conditions of a single group were studied, Failure mode and effects analysis were applied for the preparatory procedures done before operations. Results: The preparation omission rate before the operation decreased from 2.70% to 0.04%, and operation cancellation rate decreased from 0.48% to 0.08%. Conclusion: Failure mode and effects analysis which remove any risk factors for patients in advance of the operation is effective in preventing any negligent accidents.

Keywords

References

  1. Kim JS, Kim JS. Importance awareness and compliance on patient safety for nurses working in operating rooms. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(12):5748-5758. http://dx.doi.org/10.7662/KAIS.2011.12.12.5748
  2. Einav Y, Gopher D, Kara I, Ben-Yosef O, Lawn M, Laufer N, et al. Preoperative briefing in the operating room: Shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-449. http://dx.doi.org/10.1378/chest.08-1732
  3. Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139:159-173. http://dx.doi.org/10.1016/j.surg.2005.07.037
  4. Khuri SF, Henderson WG, Daley J, Jonasson O, Jones RS, Campbell DA, et al. The patient safety in surgery study: Background, study, design, and patient populations. Journal of the American College of Surgeons, 2007;204:1089-1102. http://dx.doi.org/10.1016/j.jamcollsurg.2007.03.028
  5. Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgical never events in the United States. Surgery, 2013;153:465-472. http://dx.doi.org/10.1016/j.surg.2012.10.1005
  6. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The Influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research. 2011;17(2):204-214
  7. Chiozza ML, Ponzetti C. FMEA: A model for reducing medical errors. Clinica Chimica Acta. 2009;404:75-78. http://dx.doi.org/10.1016/j.cca.2009.03.015
  8. Lu Y, Teng F, Zhou J, Wen A, Bi Y. Failure mode and effect analysis in blood transfusion: A proactive tool to reduce risks. Transfusion. 2013;53:3080-3087. http://dx.doi.org/10.1111/trf.12174
  9. Ho CC, Liao CJ. The use of failure mode and effects analysis to construct an effective disposal and prevention mechanism for infectious hospital waste. Waste management. 2011;31(12):2631-2637. http://dx.doi.org/10.1016/j.wasman.2011.07.011
  10. Bonfant G, Belfanti P, Paternoster G, Gabrielli D, Gaiter AM, Manes M, et al. Clinical risk analysis with failure mode and effect analysis (FMEA) model in a dialysis unit. Journal of Nephrology. 2010;23(01):111-118.
  11. Yang NY, Lee MH. Analysis of effects of chemotherapy using failure mode and effect analysis (FMEA) on patient safety and safe nursing. Journal of Korean Academy of Nursing Administration. 2015;21(3):254-262. http://dx.doi.org/10.1111/jkana.2015.21.3.254
  12. Reason J. Understanding adverse events: Human factors. Quality Health Care. 1995;4:80-89. https://doi.org/10.1136/qshc.4.2.80
  13. Douketis JD. Perioperative anticoaulation management in patients who are receiving oral anticoagulant therapy: A practical guide for clinicians. Thrombosis Research. 2002;108(1):3-13. http://dx.doi.org/10.1016/S0049-3848(02)00387-0
  14. Dunn AS, Turpie AGG. Perioperative management of patients receiving oral anticoagulants: A systematic review. Archives of Internal Medicine. 2003;163(8):901-908. http://dx.doi.org/10.1001/archinte.163.8.901
  15. Chan DTM, Ng SSM, Chong YH, Wong J, Tam YH, Lam YH, et al. Using 'failure mode and effects analysis' to design a surgical safety checklist for safer surgery. Surgical Practice. 2010;14:53-60. http://dx.doi.org/10.1111/j.1744-1633.2010.00494.x
  16. Chun NM. Effective FMEA application for safety improvement in Healthcare Service. Journal of the Korea Management Engineers Society. 2015;20(4):43-53.
  17. Cutter J, Jordan S. The systems approach to error reduction: Factors influencing inoculation injury reporting in the operation theatre. Journal of Nursing Management. 2013;21:989-1000. http://dx.doi.org/10.1111/j.1365.2834.2012.01435.x