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A Practical Guide to Failure Mode and Effects Analysis in Health Care: Making the Most of the Team and Its Meetings

机译:卫生保健中失败模式和影响分析的实用指南:充分利用团队及其会议

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Background: Failure Mode and Effects Analysis (FMEA) is a proactive risk assessment tool used to identify potential vulnerabilities in complex, high-risk processes and to generate remedial actions before the processes result in adverse events. FMEA is increasingly used to proactively assess and improve the safety of complex health care processes such as drug administration and blood transfusion. A central feature of FMEA is that it is undertaken by a multidisciplinary team, and because it entails numerous analytical steps, it takes a series of several meetings. Composing a team of busy health care professionals with the appropriate knowledge, skill mix, and logistical availability for regular meetings is, however, a serious challenge. Despite this, information and advice on FMEA team assembly and meetings scheduling are scarce and diffuse and often presented without the accompanying rationale. The Multidisciplinary Team: Assemble an eight-member team composed of clinically active health care staff, from every profession involved in delivery of the process-and who regularly perform it; staff from a range of seniority levels; outsider(s) to the process-and perhaps even to health care; a leader (and facilitator); and researchers. Scheduling: Plan for 10-15 hours of team meeting time for first-time, narrowly defined FMEAs, scheduled as four to six meetings lasting 2 to 3 hours each, spaced weekly to biweekly. Meet in a venue that seats the team around one table and is off the hospital floor but within its grounds. Conclusions: FMEA, generally acknowledged to be a useful addition to the patient safety toolkit, is a meticulous and time- and resource-intensive methodology, and its successful completion is highly dependent on the team members' aptitude and on the facility's and team members' commitment to hold regular, productive meetings.
机译:背景:故障模式和影响分析(FMEA)是一种主动的风险评估工具,用于识别复杂的高风险流程中的潜在漏洞,并在流程导致不良事件之前采取补救措施。 FMEA越来越多地用于主动评估和改善复杂的医疗过程(如药物管理和输血)的安全性。 FMEA的一个主要特征是它由一个多学科团队进行,并且由于涉及许多分析步骤,因此需要召开一系列的几次会议。然而,组建一支具有适当知识,技能组合和后勤可用性的忙碌医疗专业人员团队是一个严峻的挑战。尽管如此,关于FMEA团队集会和会议安排的信息和建议仍然很少且分散,并且经常在没有附带理由的情况下提供。多学科团队:由八名成员组成的团队,由参与该过程交付的每个专业的临床活跃的医疗保健人员组成,并定期执行该程序;各种资历的工作人员;外来者,甚至是医疗保健者;领导者(和促进者);和研究人员。日程安排:为第一次狭窄定义的FMEA安排10-15小时的团队会议时间,安排为4至6次会议,每次持续2至3个小时,每周至每两周间隔一次。在一个让团队围绕一张桌子就座且位于医院楼层但在其场地内的地点开会。结论:FMEA通常被认为是患者安全工具包的有用补充,它是一种细致且耗时和资源密集的方法,其成功完成在很大程度上取决于团队成员的能力以及机构和团队成员的能力。承诺举行定期,富有成效的会议。

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    Bradford Institute for Health Research Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom Psychosocial Oncology and Clinical Practice Research Group, St. James's Institute of Oncology and University of Leeds, Leeds, United Kingdom;

    rnBradford Institute for Health Research and School of Health Studies, University of Bradford, Bradford, United Kingdom;

    rnEducation and Cancer Services. Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Foundation Trust;

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