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Failure mode and effect analysis in the indwelling urinary catheterization process.

Caroline Zottele Piasentin Giacomini1, Ana Elisa Bauer de Camargo Silva2, Janete de Souza Urbanetto3

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This study analyzed risks in adult urinary catheterization, identifying 55 failure modes. Proactive risk analysis and nurse involvement are crucial for improving patient safety and healthcare risk management.

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Area of Science:

  • Healthcare Risk Management
  • Patient Safety
  • Process Improvement

Background:

  • Urinary catheterization is a common procedure with inherent risks.
  • A proactive approach to identifying and mitigating these risks is essential for patient safety.

Purpose of the Study:

  • To analyze potential risks within the adult indwelling urinary catheterization process.
  • To identify failure modes, causes, and effects associated with urinary catheterization.

Main Methods:

  • Exploratory, descriptive, and evaluative research conducted in a teaching hospital.
  • Process modeling used to create an activity flowchart and description.
  • Failure Mode and Effect Analysis (FMEA) applied for potential risk analysis.

Main Results:

  • Four sub-processes were identified within the urinary catheterization procedure.
  • Analysis revealed 55 potential failure modes, 92 potential failure causes, and 40 potential failure effects.
  • Nurses play a strategic role in risk management throughout the catheterization process.

Conclusions:

  • The FMEA method effectively supports proactive healthcare risk analysis in urinary catheterization.
  • Findings emphasize the need for enhanced safety culture at the national level.
  • Continuous nurse engagement is vital for effective healthcare risk management in catheterization.