Risk Assessment of the Processes of Operating Room Department using the Failure Mode and Effects Analysis (FMEA) Method
Zahra Kavosi,
Fateme Setoodehzadeh,
Mozhgan Fardid,
Maryam Gholami,
Marzie Khojastefar,
Mahbube Hatam,
Zahra tahiati,
Gholamreza Fardid
Affiliations
Zahra Kavosi
Associate professor in Health Services Management, Management Department, School of Medical Management and Information, Shiraz University of Medical Sciences, Shiraz, Iran
Fateme Setoodehzadeh
Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Mozhgan Fardid
Ph.d Candidate in Health policy، Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Maryam Gholami
PhD Student of Health Services Management, Center for Development of Clinical Studies, Shiraz University of Medical Science, Nemazee Hospital, Shiraz, Iran (*Corresponding author), Address: first floor,next to Eghbal Lahori Saloon, Center for Development of Clinical Studies, Nemazee Hospital, Shiraz, Fax: 07136474278, Email: [email protected]
Marzie Khojastefar
M.A in Biostatistics, Center for Development of Clinical Studies of Nemazee Hospital, Shiraz, Iran
Mahbube Hatam
BSc in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran.
Zahra tahiati
BSc in Science in Nursing, Shiraz University of Medical Science, Nemazze Hospital, Shiraz, Iran
Gholamreza Fardid
Operating Room Technician, Shiraz University of Medical Science, Nmazee Hospital, Shiraz, Iran
Background: Reduction of errors is necessary to improve the quality of healthcare, promoting communication between the hospital staff and patients, and decreasing the patientchr('39')s complaints in hospitals. Due to the high probability of error in the operating room (OR), this study aimed to detect the potential errors in the OR of Nemazee hospital using FMEA. Materials and Methods: This study was a qualitative one which assessed Failure Mode and effects of OR in six steps using FMEA technique. At First, the OR activities were listed, then the failure modes were recognized. Next, the Risk Priority Number (RPN) of each error was calculated according to the indicators of Occurrence (O), Severity (S) and Detectability (D). Results: Totally,204 failure modes in 36 activities in five process in surgery ward were recognized.15.7 percent of failure modes classified as high risk factors (RPN ≥ 100). The most and the least distribution of origin factors were related to human and organization and technical errors, respectively. Conclusion: The majority of errors in OR was set in of human skills category. Besides, the most and the least failure modes were belonged to “patient anesthesia by circular activity number 20, RPN=1795.23)” and “not to oxygenation for patients (the activity number 36, RPN=99.33) respectively. Identification of 36 activities and 204 errors in the 5 processes of Operating Room represents the comprehensiveness of HFMEA method in the identification, classification, evaluation and analysis of the health system errors.
