Evaluating inputs of failure modes and effects analysis in identifying patient safety risks.
International journal of health care quality assurance
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Simsekler, M. C. E., Kaya, G., Ward, J., & Clarkson, J. (2019). Evaluating inputs of failure modes and effects analysis in identifying patient safety risks.. International journal of health care quality assurance, 32 (1), 191-207. https://doi.org/10.1108/ijhcqa-12-2017-0233
Purpose: There is a growing awareness on the use of systems approaches to improve patient safety and quality. While earlier studies evaluated the validity of such approaches to identify and mitigate patient safety risks, so far only little attention has been given to their inputs, such as structured brainstorming and use of system mapping approaches (SMAs), to understand their impact in the risk identification process. To address this gap, this study evaluates the inputs of well-known systems approach, Failure Modes and Effects Analysis (FMEA), in identifying patient safety risks in a real healthcare setting. Design: This study was conducted in a newly established Adult Attention Deficit Hyperactivity Disorder (ADHD) service at Cambridge and Peterborough Foundation Trust in the UK. Three stakeholders of the chosen service together with the facilitators conducted an FMEA exercise along with a particular system diagram that was initially found as the most useful SMA by eight stakeholders of the service. Findings: In this study, it was found that the formal structure of FMEA adds value to the risk identification process through comprehensive system coverage with the help of the system diagram. However, results also indicates that the structured brainstorming refrains FMEA participants from identifying and imagining new risks since they follow the process predefined in the system diagram given. Conclusions: While this study shows the potential contribution of FMEA inputs, it also suggests that healthcare organisations should not depend solely on FMEA results when identifying patient safety risks; and therefore prioritising their safety concerns.
Humans, Risk Factors, Attention Deficit Disorder with Hyperactivity, Risk Management, Disease Management, Patient Care Team, Female, Male, Patient Safety, Healthcare Failure Mode and Effect Analysis, United Kingdom, Outcome Assessment, Health Care
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)
External DOI: https://doi.org/10.1108/ijhcqa-12-2017-0233
This record's URL: https://www.repository.cam.ac.uk/handle/1810/277834