Utility of Failure Mode and Effect Analysis to Improve Safety in Suctioning by Orotracheal Tube

被引:8
|
作者
Vazquez-Valencia, Agustin [1 ,2 ]
Santiago-Saez, Andres [3 ,4 ]
Perea-Perez, Bernardo [5 ]
Labajo-Gonzalez, Elena [5 ]
Albarran-Juan, Maria Elena [5 ]
机构
[1] HGUGM, ICU, Madrid, Spain
[2] Univ Complutense Madrid, Hlth Care Skill, Madrid, Spain
[3] Univ Complutense Madrid, Sch Forens Med, Sch Legal Med, Madrid, Spain
[4] Hosp Clin San Carlos Madrid, Legal Med Serv, Madrid, Spain
[5] Univ Complutense Madrid, Sch Legal Med, Madrid, Spain
关键词
patient safety; FMEA; orotracheal suctioning; ETT; improvement actions; RPN;
D O I
10.1016/j.jopan.2015.03.014
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: The objective of the study was to use the Failure Mode and Effect Analysis (FMEA) tool to analyze the technique of secretion suctioning on patients with an endotracheal tube who were admitted into an intensive care unit. Materials and Methods: Brainstorming was carried out within the service to determine the potential errors most frequent in the process. After this, the FMEA was applied, including its stages, prioritizing risk in accordance with the risk prioritization number (RPN), selecting improvement actions in which they have an RPN of more than 300. Results: We obtained 32 failure modes, of which 13 surpassed an RPN of 300. After our result, 21 improvement actions were proposed for those failure modes with RPN scores above 300. Conclusions: FMEA allows us to ascertain possible failures so as to later propose improvement actions for those which have an RPN of more than 300. 2016 by American Society of PeriAnesthesia Nurses
引用
收藏
页码:28 / 37
页数:10
相关论文
共 50 条
  • [1] Using Failure Mode, Effect and Criticality Analysis to Improve Safety in the COVID Mass Vaccination Campaign
    Buja, Alessandra
    Manfredi, Mariagiovanna
    De Luca, Giuseppe
    Zampieri, Chiara
    Zanovello, Sofia
    Perkovic, Davor
    Scotton, Francesca
    Minnicelli, Anil
    De Polo, Anna
    Cristofori, Vittorio
    Biasi, Laura
    Baldovin, Tatjana
    Bertoncello, Chiara
    Cocchio, Silvia
    Baldo, Vincenzo
    VACCINES, 2021, 9 (08)
  • [2] Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process
    Alessandra Buja
    Giuseppe De Luca
    Ketti Ottolitri
    Elena Marchi
    Francesco Paolo De Siena
    Giovanni Leone
    Pietro Maculan
    Umberto Bolzonella
    Riccardo Caberlotto
    Giovanni Cappella
    Giulia Grotto
    Gaia Lattavo
    Benedetta Sforzi
    Giovanni Venturato
    Anna Maria Saieva
    Vincenzo Baldo
    Journal of Pharmaceutical Policy and Practice, 16
  • [3] Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process
    Buja, Alessandra
    De Luca, Giuseppe
    Ottolitri, Ketti
    Marchi, Elena
    De Siena, Francesco Paolo
    Leone, Giovanni
    Maculan, Pietro
    Bolzonella, Umberto
    Caberlotto, Riccardo
    Cappella, Giovanni
    Grotto, Giulia
    Lattavo, Gaia
    Sforzi, Benedetta
    Venturato, Giovanni
    Saieva, Anna Maria
    Baldo, Vincenzo
    JOURNAL OF PHARMACEUTICAL POLICY AND PRACTICE, 2023, 16 (01)
  • [4] Implementing failure mode and effect analysis to improve the safety of volumetric modulated arc therapy for total body irradiation
    Gray, Tara
    Antolak, Alexander
    Ahmed, Saeed
    Magnelli, Anthony
    Lu, Lan
    Cho, Young-Bin
    Qi, Peng
    Xia, Ping
    Cherian, Sheen
    Murphy, Erin
    Kilic, Sarah
    Zura, Kim
    Rankin, Emily
    Schulte, Jenna
    Kovacs, Tiffany
    Guo, Bingqi
    MEDICAL PHYSICS, 2023, 50 (07) : 4092 - 4104
  • [5] Analysis of operational safety risks in shipbuilding using failure mode and effect analysis approach
    Efe, Burak
    OCEAN ENGINEERING, 2019, 187
  • [6] Prevention is better: the case of the underutilized failure mode effect analysis in patient safety
    Lewis Goodrum
    Prathibha Varkey
    Israel Journal of Health Policy Research, 6
  • [7] Prevention is better: the case of the underutilized failure mode effect analysis in patient safety
    Goodrum, Lewis
    Varkey, Prathibha
    ISRAEL JOURNAL OF HEALTH POLICY RESEARCH, 2017, 6
  • [8] Application of failure mode and effects analysis (FMEA) to improve medication safety in the dispensing process - a study at a teaching hospital, Sri Lanka
    Anjalee, J. A. L.
    Rutter, V.
    Samaranayake, N. R.
    BMC PUBLIC HEALTH, 2021, 21 (01)
  • [9] How can the failure mode and effect analysis improve the working processes in the ART center?
    Vujisic, Sanja
    Panic, Karolina Poljak
    Grcic, Tihana
    Dmitrovic, Romana
    EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2024, 302 : 43 - 55
  • [10] Evaluation of safety risks in construction using Fuzzy Failure Mode and Effect Analysis (FFMEA)
    Ardeshir, A.
    Mohajeri, M.
    Amiri, M.
    SCIENTIA IRANICA, 2016, 23 (06) : 2546 - 2556