Use of Modeling to Identify Vulnerabilities to Human Error in Laparoscopy

Funk, Ken; Bauer, James D.; Doolen, Toni; Telasha, David; Nicolalde, Roberto J.; Reeber, Miriam; Yodpijit, Nantakrit; Long, Myra D.

doi:10.1016/j.jmig.2010.01.012

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…The results provide a base for the application of both medical and human factors engineering perspectives to yield a comprehensive list of vulnerabilities to human errors and factors that may cause them. 34 …”

Section: Discussionmentioning

confidence: 99%

Evaluating the application of failure mode and effects analysis technique in hospital wards: a systematic review

et al. 2016

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Abstract:Background:Medical errors are one of the greatest problems in any healthcare systems. The best way to prevent such problems is errors identification and their roots. Failure Mode and Effects Analysis (FMEA) technique is a prospective risk analysis method. This study is a review of risk analysis using FMEA technique in different hospital wards and departments. Methods:This paper has systematically investigated the available databases. After selecting inclusion and exclusion criteria, the related studies were found. This selection was made in two steps. First, the abstracts and titles were investigated by the researchers and, after omitting papers which did not meet the inclusion criteria, 22 papers were finally selected and the text was thoroughly examined. At the end, the results were obtained. Results:The examined papers had focused mostly on the process and had been conducted in the pediatric wards and radiology departments, and most participants were nursing staffs. Many of these papers attempted to express almost all the steps of model implementation; and after implementing the strategies and interventions, the Risk Priority Number (RPN) was calculated to determine the degree of the technique’s effect. However, these papers have paid less attention to the identification of risk effects. Conclusions:The study revealed that a small number of studies had failed to show the FMEA technique effects. In general, however, most of the studies recommended this technique and had considered it a useful and efficient method in reducing the number of risks and improving service quality.

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Section: Discussionmentioning

confidence: 99%

Evaluating the application of failure mode and effects analysis technique in hospital wards: a systematic review

et al. 2016

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“…As no scoring system was developed for newborn falls, we used the FMEA method used mainly in other sectors [14, 15] and have been implemented in healthcare in the last decade [16–18]. An FMEA study is not a traditional case control population study.…”

Section: Discussionmentioning

confidence: 99%

A New Scale for Evaluating the Risks for In-Hospital Falls of Newborn Infants: A Failure Modes and Effects Analysis Study

Abıke

Tiras

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et al. 2010

International Journal of Pediatrics

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We aimed to develop a new scale for evaluating risks and preventive measures for in-hospital falls of newborn infants, from admission to discharge of the expectant mother. Our study was prepared in accordance with Failure Modes and Effects Analysis criteria. The risks and preventive measures for in-hospital falls of newborns were determined. Risk Priority Numbers (RPNs) were determined by multiplication of the scores of severity, probability of occurrence, and probability of detection. Analyses showed that risks having the highest RPNs were the mother with epidural anesthesia (RPN: 350 point), holding of the baby at the moment of delivery (RPN: 240), and transportation of baby right after delivery (RPN: 240). A reduction was detected in all RPNs after the application of preventive measures. Our risk model can function as a guide for obstetric clinics that need to form strategies to prevent newborn falls.

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“…A previous study showed that any kind of system can be modeled using SADT [ 42 ]. In the healthcare sector, the SADT method has been used to model several processes in different hospital departments such as radiation oncology [ 43 ], surgical processes, [ 44 ] and emergency [ 45 ].…”

Section: Introductionmentioning

confidence: 99%

Integrating Quality Tools and Methods to Analyze and Improve a Hospital Sterilization Process

2021

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Healthcare facilities are facing major issues and challenges. Hospitals continuously search approaches to improve operations quality, optimize performance, and minimize costs. Specifically, an efficient hospital sterilization process (HSP) allows reusable medical devices (RMDs) to be more quickly available for healthcare activities. In this context, this paper describes an integrated approach developed to analyze HSP and to identify the most critical improvement actions. This proposed approach integrates four quality tools and techniques. Firstly, a structured analysis and design technique (SADT) methodology is applied to describe HSP as a hierarchy of activities and functions. Secondly, the failure modes and effects analysis (FMEA) method is used as a risk assessment step to determine which activity processes need careful attention. Thirdly, a cause–effect analysis technique is used as a tool to help identify all the possible improvement actions. Finally, priority improvement actions are proposed using the quality function deployment (QFD) method. To validate the proposed approach, a real sterilization process used at the maternity services of Hedi-Cheker Hospital in the governorate of Sfax, Tunisia, was fully studied. For this specific HSP, the proposed approach results showed that the two most critical activities were (1) improving the coordination between the sterilization service and the surgery block and (2) minimizing the average duration of the sterilization process to ensure the availability of RMDs in time.

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Use of Modeling to Identify Vulnerabilities to Human Error in Laparoscopy

Cited by 8 publications

References 18 publications

Evaluating the application of failure mode and effects analysis technique in hospital wards: a systematic review

Evaluating the application of failure mode and effects analysis technique in hospital wards: a systematic review

A New Scale for Evaluating the Risks for In-Hospital Falls of Newborn Infants: A Failure Modes and Effects Analysis Study

Integrating Quality Tools and Methods to Analyze and Improve a Hospital Sterilization Process

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