Using 'failure mode and effects analysis' to design a surgical safety checklist for safer surgery

Surgical Practice

Volumn 14, Issue 2, 2010, Pages 53-60

  Chan, Danny T M ^a,b   Ng, Simon S M ^a   Chong, Yee Hung ^b   Wong, John ^a   Tam, Yuk Him ^a   Lam, Yuk Hoi ^a   Chan, Chi Kwok ^a   Wong, David S Y ^a   Wan, Innes Y P ^a   Wong, Simon K H ^a   Ng, Bobby K W ^b   Cho, Amy M W ^b   Yu, Kwok Hung ^b   Chan, Hing Sang ^b   Li, Wing See ^b   Ng, Alex ^b   Wu, Terry S F ^b   Chiu, Alick ^b   Fong, Ada S L ^b   Liu, Yat Wo ^b   Lai, Paul B S ^a   more..

^a CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

^b HOSPITAL AUTHORITY   (Hong Kong)

Author keywords

Checklist; Failure mode and effects analysis; Surgical safety; Wrong patient surgery; Wrong site side surgery

Indexed keywords

EID: 77953573536     PISSN: 17441625     EISSN: 17441633     Source Type: Journal    
DOI: 10.1111/j.1744-1633.2010.00494.x     Document Type: Article

References (13)

1. Spark NT. A History of Murphy's Law. 2006, Periscope Film
2. Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Incidence, patterns, and prevention of wrong-site surgery. Arch. Surg. 2006, 141:353-8.
3. Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Arch. Surg. 2006, 141:931-9.
4. Sentinel Events Alert Issue 24: - December 5, 2001. A Follow-up Review of Wrong Site Surgery. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_24.htm, The Joint Commission, Cited 28 February 2010.] Available from URL:
5. Annual Reports on HA Sentinel Events Annual Report (Oct 2007-Sep 2008 and Oct 2008 and Sep 2009). http://www.ha.org.hk/report/sentinel_event, Hospital Authority, Hong Kong, Cited 28 February 2010.] Available from URL:
6. Kohn KT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System 1999, Washington, DC, National Academy Press
7. McDermott RE, Mikulak RJ, Beauregard MR. The Basics of FMEA 1996, Portland, OR, Resources Engineering, Inc.
8. Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit. Care. Clin. 2005, 21:21-30.
9. 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, 28:248-67.
10. Sentinel Event Policy and Procedures. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/PolicyandProcedures, The Joint Commission, Cited 28 February 2010.] Available from URL:
11. The Patient Safety Alert 06 - Correct Site Surgery. http://www.npsa.nhs.uk, The National Patient Safety Agency and The Royal College of Surgeons of England, Cited 28 February 2010.] Available from URL:
12. White MM, Gupta M, Utman SA, Dhillon B. Importance of side marking in ophthalmic surgery. Surgeon 2009, 7:82-5.
13. Haynes AB, Weiser TG, Berry WR. A surgical safety checklist to reduce morbidity and mortality in a global population. N. Engl. J. Med. 2009, 360:491-9.