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The use of failure mode and effects analysis to construct an effective disposal and prevention mechanism for
Chao Chung Ho1, Ching-Jong Liao
1Department of Industrial Management, National Taiwan University of Science and Technology, Taipei 106, Taiwan. ho919@pchome.com.tw
Abstract:
In recent times, the quality of medical care has been continuously improving in medical institutions wherein patient-centred care has been emphasized. Failure mode and effects analysis (FMEA) has also been promoted as a method of basic risk management and as part of total quality management (TQM) for improving the quality of medical care and preventing mistakes. Therefore, a study was conducted using FMEA to evaluate the potential risk causes in the process of infectious medical waste disposal, devise standard procedures concerning the waste, and propose feasible plans for facilitating the detection of exceptional cases of infectious waste. The analysis revealed the following results regarding medical institutions: (a) FMEA can be used to identify the risk factors of infectious waste disposal. (b) During the infectious waste disposal process, six items were scored over 100 in the assessment of uncontrolled risks: erroneous discarding of infectious waste by patients and their families, erroneous discarding by nursing staff, erroneous discarding by medical staff, cleaning drivers pierced by sharp articles, cleaning staff pierced by sharp articles, and unmarked output units. Therefore, the study concluded that it was necessary to (1) provide education and training about waste classification to the medical staff, patients and their families, nursing staff, and cleaning staff; (2) clarify the signs of caution; and (3) evaluate the failure mode and strengthen the effects.
Insights
Failure Mode and Effects Analysis (FMEA) identified key risks in infectious medical waste disposal. Enhancing staff and patient education on waste classification is crucial for preventing errors and injuries.
Area of Science:
- Healthcare Management
- Risk Management
- Environmental Health
Background:
- Patient-centered care and total quality management (TQM) are improving medical institutions.
- Failure Mode and Effects Analysis (FMEA) is a recognized method for risk management in healthcare.
Purpose of the Study:
- To utilize FMEA for evaluating risks in infectious medical waste disposal.
- To develop standard procedures and detection plans for infectious waste exceptions.
Main Methods:
- Application of Failure Mode and Effects Analysis (FMEA) to the infectious medical waste disposal process.
- Identification and scoring of uncontrolled risk factors.
Main Results:
- FMEA effectively identified risk factors in infectious waste disposal.
- Six critical risk factors exceeded a score of 100 in uncontrolled risk assessment.
- Identified risks included improper discarding by patients, families, nursing, and medical staff, sharps injuries to cleaning staff and drivers, and unmarked output units.
Conclusions:
- Medical waste disposal requires improved risk management strategies.
- Education and training on waste classification are essential for all stakeholders.
- Clear cautionary signage and robust evaluation of failure modes are necessary.
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