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Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 15-22

Healthcare risk evaluation with failure mode and effect analysis in established of new dialysis unit

1 Quality and Patient Safety Department, Tertiary Healthcare Hospital, Al Ain, United Arab Emirates
2 Quality and Patient Safety Department, Dammam University, Dammam, Kingdom of Saudi Arabia

Correspondence Address:
Dr. U Albert Anand
Clinical Auditor, Quality and Patient Safety Department, Tertiary Healthcare Hospital, Al Ain
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2319-1880.160238

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Introduction: Proactive prevention of medical errors is critical in medical practice. Root causes analysis is a conventional method used to deal with errors that result in an adverse event. Aim: The aim of this paper was the application of the failure mode and effects analysis (FMEA) tool used to evaluate the risks to prevent the infections and adverse treatment effect in dialysis for patients and it leads to improving the quality of care provided by Healthcare Organizations and to assure patients' safety. Materials and Methods: FMEA to hemodialysis unit and sequential steps in the FMEA process are explained. Assigned severity, occurrence, and detection scores for each failure mode and calculated the Risk Priority Numbers (RPNs). The RPN was calculated as the product of the three attributes: RPN = occurrence rating × severity rating × detectability rating. Statistical Analysis: Statistical evaluation of plan results was performed with a two-tailed Chi-square test. Results were considered statistically significant at P < 0.05. Results: The Technical Expert Panel analyzed failure modes causes, made recommendations and planned new control measures. After failure mode elimination or reduction, we find out the association of resulting RPN with severity scores, occurrence scores, and detection scores. Conclusions: FMEA has helped in the prospective evaluation of dialysis processes, determination of risks associated with dialysis care and development of solutions and preventive actions. Thus reduce the risk and improving the patient safety of the Dialysis Department.

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