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Israel Journal of Health Policy Research

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Open Access 01-12-2017 | Commentary

Prevention is better: the case of the underutilized failure mode effect analysis in patient safety

Authors: Lewis Goodrum, Prathibha Varkey

Published in: Israel Journal of Health Policy Research | Issue 1/2017

Abstract

Prospective hazard analysis methodologies, like failure modes and effects analysis (FMEA), have been tried and tested in the engineering industry and are more recently gaining momentum in healthcare. Considering FMEA’s evidence based successes, this commentary makes the case that healthcare is underutilizing the methodology by relying on retrospective hazard analysis. Healthcare leaders should determine where prospective hazard analysis principles could be better built into care delivery planning and processes that will enhance patient safety.

Hudson P. Implementing a safety culture in a major multi-national. Saf Sci. 2007;45(6):697–722.CrossRef

Ofek F, Magnezi R, Kurzweil Y, Gazit I, Berkovitch S, Tal O. Introducing a change in hospital policy using FMEA methodology as a tool to reduce patient hazards. Isr J Health Policy Res. 2016;5(1):30.CrossRefPubMedPubMedCentral

Varkey, P. (Ed.). Medical quality management: theory and practice. Burlington: Jones & Bartlett Publishers. 2010.

Dumbravă V, Iacob VS. Using probability–impact matrix in analysis and risk assessment projects. Descrierea CIP/Description of CIP–Biblioteca Națională a României Conferința Internațională Educație și Creativitate pentru o Societate Bazată pe Cunoaștere–ŞTIINŢE ECONOMICE. 2013;42.

Hsieh YJ, Huang LY, Wang CT. A framework for the selection of six sigma projects in services: case studies of banking and health care services in Taiwan. Serv Bus. 2012;6(2):243–64.CrossRef

Dale BG, Shaw P. Failure mode and effects analysis in the UK motor industry: a state-of-the-art study. Qual Reliab Eng Int. 1990;6(3):179–88.CrossRef

DeRosier J, Stalhandske E, Bagian JP, Nudell T. Using health care failure mode and effect analysis™: the VA National Center for Patient Safety’s prospective risk analysis system. Joint Comm J Qual Patient Saf. 2002;28(5):248–67.

Vincent CA. Analysis of clinical incidents: a window on the system not a search for root causes. Qual Saf Health Care. 2004;13(4):242–3.CrossRefPubMedPubMedCentral

Makary MA, Daniel M. Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139.CrossRefPubMed

Title: Prevention is better: the case of the underutilized failure mode effect analysis in patient safety
Authors: Lewis Goodrum
Prathibha Varkey
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Israel Journal of Health Policy Research / Issue 1/2017
Electronic ISSN: 2045-4015
DOI: https://doi.org/10.1186/s13584-016-0131-2

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Springer Medicine

Prevention is better: the case of the underutilized failure mode effect analysis in patient safety

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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