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Reducing failures in daily medical practice: Healthcare failure mode and effect analysis combined with computer simulation.
- Source :
- Ergonomics; Oct2021, Vol. 64 Issue 10, p1322-1332, 11p
- Publication Year :
- 2021
-
Abstract
- This study proposes a risk analysis approach for complex healthcare processes that combines qualitative and quantitative methods to improve patient safety. We combine Healthcare Failure Mode and Effect Analysis with Computer Simulation (HFMEA-CS), to overcome widely recognised HFMEA drawbacks regarding the reproducibility and validity of the outcomes due to human interpretation, and show the application of this methodology in a complex healthcare setting. HFMEA-CS is applied to analyse drug adherence performance in the surgical admission to discharge process of pheochromocytoma patients. The multidisciplinary team identified and scored the failure modes, and the simulation model supported in prioritisation of failure modes, uncovered dependencies between failure modes, and predicted the impact of measures on system behaviour. The results show that drug adherence, defined as the percentage of required drugs received at the right time, can be significantly improved with 12%, to reach a drug adherence of 99%. We conclude that HFMEA-CS is both a viable and effective risk analysis approach, combining strengths of expert opinion and quantitative analysis, for analysing human-system interactions in socio-technical systems. Practitioner summary: We propose combining Healthcare Failure Mode and Effects Analysis with Computer Simulation (HFMEA-CS) for prospective risk analysis of complex and potentially harmful processes, to prevent critical incidents from occurring. HFMEA-CS combines expert opinions with quantitative analyses, such that the results are more reliable, reproducible, and fitting for complex healthcare settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of medical errors
COMPUTER simulation
MEDICAL databases
INFORMATION storage & retrieval systems
ACADEMIC medical centers
MATHEMATICAL models
RESEARCH methodology
PATIENTS
SURGERY
TREATMENT failure
MEDICAL errors
RISK assessment
HOSPITAL admission & discharge
THEORY
DRUGS
PHEOCHROMOCYTOMA
HEALTH care teams
DESCRIPTIVE statistics
CLINICAL medicine
MEDICAL practice
PATIENT compliance
DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 00140139
- Volume :
- 64
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Ergonomics
- Publication Type :
- Academic Journal
- Accession number :
- 152759378
- Full Text :
- https://doi.org/10.1080/00140139.2021.1910734