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Related Experiment Videos

An improved failure mode effects analysis for hospitals.

Jan S Krouwer1

  • 1Krouwer Consulting, Sherborn, Mass 01770, USA. info@krouwerconsulting.com

Archives of Pathology & Laboratory Medicine
|May 28, 2004
PubMed
Summary
This summary is machine-generated.

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The Failure Mode Effects Analysis (FMEA) process can be enhanced with fault trees and quality system essentials. Focusing on risk priority numbers may lead to neglecting potential failures, suggesting a modified approach for better medical error reduction.

Area of Science:

  • Healthcare quality improvement
  • Reliability engineering in healthcare

Background:

  • The Joint Commission on Accreditation of Health Organizations recommends Failure Mode Effects Analysis (FMEA).
  • Hospital personnel may be unfamiliar with FMEA, a reliability engineering tool.

Purpose of the Study:

  • To review the FMEA process recommended by the Joint Commission.
  • To explore alternative approaches to FMEA.

Main Methods:

  • Literature search of Web site-accessible materials.
  • Inclusion of Joint Commission recommendations and Mil-Std-1629A.
  • Author's experience in conducting FMEAs in medical diagnostics.

Main Results:

  • FMEA process review based on cited articles and author experience.

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  • Identification of potential pitfalls in current FMEA practices.
  • Conclusions:

    • Fault trees and quality system essentials are recommended additions to FMEA.
    • Overemphasis on risk priority numbers can be detrimental.
    • A modified Pareto analysis is suggested for varying failure modes.
    • Achieving accreditation compliance and reducing medical errors through FMEA is possible with a revised focus.