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    A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings

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    Publication date
    2010
    Author
    Ashley, L.J.
    Armitage, Gerry R.
    Neary M
    Hollingsworth, G
    Keyword
    Failure Mode and Effects Analysis (FMEA)
    Risk assessment tool
    Health care
    Teams
    Peer-Reviewed
    Yes
    
    Metadata
    Show full item record
    Abstract
    Background Failure Mode and Effects Analysis (FMEA) is a proactive risk assessment tool used to identify potential vulnerabilities in complex, high-risk processes and to generate remedial actions before the processes result in adverse events. FMEA is increasingly used to proactively assess and improve the safety of complex health care processes such as drug administration and blood transfusion. A central feature of FMEA is that it is undertaken by a multidisciplinary team, and because it entails numerous analytical steps, it takes a series of several meetings. Composing a team of busy health care professionals with the appropriate knowledge, skill mix, and logistical availability for regular meetings is, however, a serious challenge. Despite this, information and advice on FMEA team assembly and meetings scheduling are scarce and diffuse and often presented without the accompanying rationale. The Multidisciplinary Team Assemble an eight-member team composed of clinically active health care staff, from every profession involved in delivery of the process—and who regularly perform it; staff from a range of seniority levels; outsider(s) to the process—and perhaps even to health care; a leader (and facilitator); and researchers. Scheduling Plan for 10–15 hours of team meeting time for first-time, narrowly defined FMEAs, scheduled as four to six meetings lasting 2 to 3 hours each, spaced weekly to biweekly. Meet in a venue that seats the team around one table and is off the hospital floor but within its grounds. Conclusions FMEA, generally acknowledged to be a useful addition to the patient safety toolkit, is a meticulous and time- and resource-intensive methodology, and its successful completion is highly dependent on the team members’ aptitude and on the facility’s and team members’ commitment to hold regular, productive meetings.
    URI
    http://hdl.handle.net/10454/6849
    Version
    No full-text in the repository
    Citation
    Ashley L, Armitage G, Neary M et al (2010) A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Joint Commission Journal for Quality and Patient Safety. 36(8): 351-358.
    Link to publisher’s version
    https://doi.org/10.1016/S1553-7250(10)36053-3
    Type
    Article
    Collections
    Health Studies Publications

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