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Failure Mode and Effects Analysis: views of hospital staff in the UK

机译:失败模式和影响分析:英国医院工作人员的观点

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Objective: To explore health care professionals’ experiences and perceptions of Failure Mode and EffectsnAnalysis (FMEA), a team-based, prospective risk analysis technique.nMethods: Semi-structured interviews were conducted with 21 operational leads (20 pharmacists, one nurse) innmedicines management teams of hospitals participating in a national quality improvement programme.nInterviews were transcribed, coded and emergent themes identified using framework analysis.nResults: Themes identified included perceptions and experiences of participants with FMEA, validity andnreliability issues, and FMEA’s use in practice. FMEA was considered to be a structured but subjective processnthat helps health care professionals get together to identify high risk areas of care. Both positive and negativenopinions were expressed, with the majority of interviewees expressing positive views towards FMEA innrelation to its structured nature and the use of a multidisciplinary team. Other participants criticised FMEAnfor being subjective and lacking validity. Most likely to restrict its widespread use were its time consumingnnature and its perceived lack of validity and reliability.nConclusion: FMEA is a subjective but systematic tool that helps identify high risk areas, but its time consumingnnature, difficulty with the scores and perceived lack of validity and reliability may limit its widespread use.
机译:目的:探讨医疗保健专业人员对基于团队的前瞻性风险分析技术的失败模式和效果分析(FMEA)的经验和看法。n方法:对21名业务负责人(20名药剂师,一名护士)进行了半结构化访谈参与国家质量改进计划的医院管理团队。n访谈被转录,编码和使用框架分析确定新出现的主题。n结果:确定的主题包括参与者对FMEA的看法和经验,有效性和可靠性问题以及FMEA在实践中的使用。 FMEA被认为是一个结构化但主观的过程,可以帮助医疗保健专业人员聚在一起,确定高风险的护理领域。表达了积极和消极的想法,大多数受访者对FMEA与其结构性质和多学科团队的使用无关。其他参与者批评FMEAn具有主观性且缺乏有效性。结论:FMEA是一种主观但系统的工具,可以帮助识别高风险区域,但其耗时的性质,评分和感知的有效性不足使它难以使用,这可能是限制其广泛使用的条件。而可靠性可能会限制其广泛使用。

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