Clinical risk analysis with failure mode and effect analysis (FMEA) model in a dialysis unit

Journal of Nephrology

Volumn 23, Issue 1, 2010, Pages 111-118

  Bonfant, Giovanna ^a   Belfanti, Pietro ^a   Paternoster, Giuseppe ^a   Gabrielli, Danila ^a   Gaiter, Alberto M ^a   Manes, Massimo ^a   Molino, Andrea ^a   Pellu, Valentina ^a   Ponzetti, Clemente ^b   Farina, Massimo ^c   Nebiolo, Pier E ^a  

^a U Parini Hospital   (Italy)

^b Aosta Valley Healthcare Organisation   (Italy)

^c EmmeEffe Management and Formazione   (Italy)

Author keywords

Clinical risk; Dialysis; FMEA

Indexed keywords

ARTICLE; COMPUTER PROGRAM; CONTROLLED STUDY; HAZARD ASSESSMENT; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEMODIALYSIS; HEMODIALYSIS PATIENT; HUMAN; MAJOR CLINICAL STUDY; OUTPATIENT CARE; PATIENT SAFETY; RISK ASSESSMENT; RISK REDUCTION;

EQUIPMENT FAILURE; EQUIPMENT FAILURE ANALYSIS; HUMANS; ITALY; OUTPATIENTS; RENAL DIALYSIS; RISK MANAGEMENT;

EID: 77249107598     PISSN: 11218428     EISSN: 17246059     Source Type: Journal    
DOI: None     Document Type: Article

References (17)

1. Reason J. Human error. Cambridge: Cambridge University Press; 1990.
2. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999:26-48.
3. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370-376.
4. Ross Baker G, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170:1678-1686.
5. DeRosier J, Stalhandske E, Bagian JP, Nudell T. Using health care Failure Mode and Effect Analysis: The VA National Center for Patient Safety's prospective risk analysis system. Jt Comm J Qual Improv. 2002;28:248-267.
6. Chiozza ML, Plebani M. Clinical Governance: from clinical risk management to continuous quality improvement. Clin Chem Lab Med. 2006;44:694-698.
7. Coles G, Fuller B, Nordquist K, Kongslie A. Using failure mode effects and criticality analysis for high-risk processes at three community hospitals. Jt Comm J Qual Patient Saf. 2005;31:132-140.
8. Joint Commission on Accreditation of Healthcare Organizations. Revised environment of care standards for the Comprehensive Accreditation Manual for Hospitals (CAMH). Jt Comm Perspect. 2001;2(S-2):20.
9. McDermott RE, Mikulak RJ, Beauregard MR. The basics of FMEA. Portland, OR: Productivity Press; 1996:1-12.
10. Ponzetti C, Farina M. La gestione del rischio clinico nell'organizzazione Sanitaria: Approcci, modalità, strumenti e risultati. Aosta IT: Tipografia Valdostana; 2007:15-49.
11. Ministero della Salute Commissione Tecnica sul Rischio Clinico (DM 5marzo 2003). Risk management in sanità. Il problema degli errori. Roma IT: Ministero della Salute - Dipartimento della Qualità; 2004:allegato 5.
12. Regione Emilia-Romagna Agenzia sanitaria regionale. FMEA - FMECA analisi dei modi di errore/guasto e dei loro effetti nelle organizzazioni sanitarie. Sussidi per la gestione del rischio 1 dossier 75. Bologna, IT: Regione Emilia-Romagna; 2002:13-19.
13. Duwe B, Fuchs BD, Hansen-Flashen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;2:21-30.
14. Krouwer JS. An improved failure mode effects analysis for hospitals. Arch Pathol Lab Med. 2004;128:663-667.
15. van Tilburg CM, Leistikow IP, Rademaker CM, Bierings MB, van Dijk AT. Health care failure mode and effect analysis: a useful proactive risk analysis in a pediatric oncology ward. Qual Saf Health Care. 2006;15:58-64.
16. Woodhouse S, Burney B, Coste K. To err is human: improving patient safety through failure mode and effect analysis. Clin Leadersh Manag Rev. 2004;18:32-36.
17. Day S, Dalto J, Fox J, Turpin M. Failure mode and effects analysis as a performance improvement tool in trauma. J Trauma Nurs. 2006;13:111-117.