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FMECA methodology applied to two pathways in an orthopaedic hospital in Milan
P Morelli1, A Vinci, L Galetto
1Scientific Institute for Research, Hospitalisation and Health Care, Galeazzi Orthopaedic Institute, Milan, Italy.
Introduction:
Adverse events pose a challenge to medical management: they can produce mild or transient disabilities or lead to permanent disabilities or even death; preventable adverse events result from error or equipment failure.
Methods:
IRCCS Istituto Ortopedico Galeazzi implemented a clinical risk management program in order to study the epidemiology of adverse events and to improve new pathways for preventing clinical errors: a risk management FMECA-FMEA pro-active analysis was applied either to an existing clinical support pathway or to a new process before its implementation.
Results:
The application of FMEA-FMECA allowed the clinical risk unit of our hospital to undertake corrective actions in order to reduce the adverse events and errors on high-risk procedure used inside the hospitals.
Insights
This study used Failure Mode, Effects, and Criticality Analysis (FMECA) and Failure Mode and Effects Analysis (FMEA) to proactively identify and reduce medical errors and adverse events in hospital procedures.
Area of Science:
- Healthcare Management
- Patient Safety
- Clinical Risk Analysis
Background:
- Adverse events in healthcare range from minor issues to fatal outcomes.
- Preventable adverse events often stem from errors or equipment malfunctions.
- Effective risk management is crucial for mitigating these challenges.
Purpose of the Study:
- To implement a clinical risk management program.
- To study the epidemiology of adverse events.
- To develop new strategies for preventing clinical errors.
Main Methods:
- Applied Failure Mode, Effects, and Criticality Analysis (FMECA) and Failure Mode and Effects Analysis (FMEA).
- Utilized a proactive analysis approach.
- Assessed both existing and new clinical support pathways and processes.
Main Results:
- The FMEA-FMECA methodology enabled the identification of high-risk procedures.
- Corrective actions were implemented by the clinical risk unit.
- The analysis aimed to reduce the incidence of adverse events and errors.
Conclusions:
- Proactive risk analysis using FMEA-FMECA is effective in healthcare settings.
- This approach helps in reducing adverse events and medical errors.
- Implementation of corrective actions leads to improved patient safety.
