Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: Evaluation of the sterilization and use of surgical instruments
Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: Evaluation of the sterilization and use of surgical instruments
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DOI：
10.1086/433190
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发表时间：
2005-10-01
影响因子：
11.8
通讯作者：
Lautenbach, E
中科院分区：
文献类型：
--
作者：
Linkin, DR;Sausman, C;Lautenbach, E
医疗保健故障模式和影响分析 (HFMEA) 是一种在潜在系统错误导致不良事件之前对其进行纠正的方法。我们研究了 HFMEA 在评估手术器械的灭菌和使用方面的效用。首先，一个多学科团队在流程图中绘制了该过程。然后使用危害分析来检查潜在的故障模式（即过程可能失败的方式）及其原因，并对每个故障模式原因的严重性和其他因素进行评分。然后计划采取行动来解决选定的故障模式原因。针对 3 个重点创建了流程图：灭菌过程、生物制品的读取和设备的使用。通过访谈和文献综述收集信息。发现了多个具有临床意义的系统错误，并制定了纠正措施。 HFMEA 方法有助于检测以前未识别的系统错误，展示了其在解决医疗保健流行病学相关不良事件方面的潜在效用。
Healthcare Failure Mode and Effects Analysis (HFMEA) is a methodology for correcting latent system errors before they lead to adverse events. We examined the utility of HFMEA in evaluating the sterilization and use of surgical instruments. First, a multidisciplinary team graphed the process in a flow diagram. A hazard analysis was then used to examine potential failure modes (i.e., ways in which a process can fail) and their causes and to score the severity and other factors for each failure mode cause. Actions were then planned to address the selected failure mode causes. Flow charts were created for 3 foci: sterilization process, reading of biologicals, and use of equipment. Information was gathered through interviews and a review of the literature. Multiple clinically significant system errors were identified, and actions to correct them were developed. The HFMEA methodology facilitated the detection of previously unrecognized system errors, demonstrating its potential utility in addressing healthcare epidemiology-related adverse events.