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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 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.
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影响分析(FMEA)的经验和看法。方法:在参与国家质量改进计划的医院的药物管理团队中,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。使用框架分析对访谈进行转录,编码和紧急主题识别。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。表达了肯定和否定的意见,大多数受访者对FMEA的结构性和使用多学科团队表示了积极的看法。其他参与者批评FMEA具有主观性且缺乏有效性。限制其广泛使用的最可能原因是其耗时的性质以及其缺乏有效性和可靠性。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,但是它的耗时性,评分困难以及缺乏有效性和可靠性的认识可能会限制其广泛使用。

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