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Failure mode and effects analysis applied to central venous catheter placement
James R Duncan1, Daniel Harwood2, Bruno Maranhao3
1Radiology, Washington University in St Louis, St. Louis, Missouri, USA jrduncan@wustl.edu.
BMJ Open Quality
|March 22, 2025
Summary
Central venous catheter (CVC) placement complications persist despite efforts. Healthcare Failure Mode and Effect Analysis (FMEA) offers a strategic approach to identify and mitigate CVC placement risks, improving patient safety.
Area of Science:
- Medical Engineering
- Patient Safety
- Healthcare Management
Background:
- Central venous catheter (CVC) placement is a common medical procedure.
- Despite advancements, CVC insertion remains associated with significant complication rates.
- Existing methods for complication prevention require enhancement.
Purpose of the Study:
- To review the strategic application of Failure Mode and Effects Analysis (FMEA) for central venous catheter placement.
- To demonstrate FMEA's utility in identifying potential quality and safety issues related to CVC insertion.
- To highlight FMEA's role in guiding effective mitigation strategies for CVC-related complications.
Main Methods:
- This is a review article, synthesizing existing knowledge on FMEA application.
- The review focuses on the strategic implementation of FMEA principles in the context of CVC procedures.
- Key aspects of FMEA, including risk identification and mitigation planning, are discussed.
Main Results:
- Failure Mode and Effects Analysis (FMEA) provides a structured framework for proactive risk assessment.
- Applying FMEA to CVC placement can systematically uncover potential failure points and their consequences.
- FMEA facilitates the development of targeted interventions to reduce CVC-related adverse events.
Conclusions:
- FMEA is a valuable tool for enhancing the safety and quality of central venous catheter placement.
- Proactive identification and mitigation of risks through FMEA can lead to improved patient outcomes.
- The strategic use of FMEA supports a culture of continuous improvement in healthcare procedures.

