Failure Mode and Effects Analysis: Views of Hospital Staff in the UK
Failure Mode and Effects Analysis: Views of Hospital Staff in the UK
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失效模式和影响分析：英国医院工作人员的看法
DOI：
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发表时间：
2012
影响因子：
2.4
通讯作者：
A. Parand
中科院分区：
文献类型：
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作者：
N. Shebl;B. Franklin;N. Barber;S. Burnett;A. Parand
目的探讨医疗保健专业人员对失效模式与效应分析（FMEA）的经验和看法。方法采用半结构式访谈的方法，对参加国家药品质量改进项目的医院药品管理团队的21名业务负责人（20名药师，1名护士）进行访谈。访谈转录，编码和紧急主题确定使用框架分析。结果确定的主题包括与FMEA，有效性和可靠性问题，FMEA的使用在实践中的参与者的看法和经验。FMEA被认为是一个结构化但主观的过程，有助于医疗保健专业人员聚集在一起，以确定高风险的护理领域。意见既有正面的也有负面的，大多数受访者对FMEA的结构化性质和使用多学科团队表示积极看法。其他参与者批评FMEA主观且缺乏有效性。最有可能限制其广泛使用的是其耗时性质以及被认为缺乏有效性和可靠性。结论FMEA是一种主观但系统的工具，有助于识别高风险领域，但其耗时的性质，得分的困难和缺乏有效性和可靠性的感知可能会限制其广泛使用。
Objective To explore health care professionals' experiences and perceptions of Failure Mode and Effects Analysis (FMEA), a team-based, prospective risk analysis technique. Methods Semi-structured interviews were conducted with 21 operational leads (20 pharmacists, one nurse) in medicines management teams of hospitals participating in a national quality improvement programme. Interviews were transcribed, coded and emergent themes identified using framework analysis. Results Themes identified included perceptions and experiences of participants with FMEA, validity and reliability issues, and FMEA's use in practice. FMEA was considered to be a structured but subjective process that helps health care professionals get together to identify high risk areas of care. Both positive and negative opinions were expressed, with the majority of interviewees expressing positive views towards FMEA in relation to its structured nature and the use of a multidisciplinary team. Other participants criticised FMEA for being subjective and lacking validity. Most likely to restrict its widespread use were its time consuming nature and its perceived lack of validity and reliability. Conclusion FMEA is a subjective but systematic tool that helps identify high risk areas, but its time consuming nature, difficulty with the scores and perceived lack of validity and reliability may limit its widespread use.