A Novel Approach for Evaluating the Risk of Health Care Failure Modes

Abstract

Failure mode and effects analysis (FMEA) can be employed to reduce medical errors by identifying the risk ranking of the health care failure modes and taking priority action for safety improvement. The purpose of this paper is to propose a novel approach of data analysis. The approach is to integrate FMEA and a mathematical tool-Data envelopment analysis (DEA) with "slack-based measure" (SBM), in the field of data analysis. The risk indexes (severity, occurrence, and detection) of FMEA are viewed as multiple inputs of DEA. The practicality and usefulness of the proposed approach is illustrated by one case of health care. Being a systematic approach for improving the service quality of health care, the approach can offer quantitative corrective information of risk indexes that thereafter reduce failure possibility. For safety improvement, these new targets of the risk indexes could be used for management by objectives. But FMEA cannot provide quantitative corrective information of risk indexes. The novel approach can surely overcome this chief shortcoming of FMEA. After combining DEA SBM model with FMEA, the two goals-increase of patient safety, medical cost reduction-can be together achieved.

Outcomes of a Failure Mode and Effects Analysis for medication errors in pediatric anesthesia

“…Failures are prioritized according to how serious their consequences are, how frequently they occur, and how easily they can be detected. The process differs from commonly utilized retrospective improvement methodologies, such as root cause analysis, which is used to investigate safety events after they occur (13)(14)(15). This methodology has been successfully applied in other health care arenas (16,17), but there is limited description of its use in evaluating anesthesia processes (18).…”

New approach for risks ranking of the initial innovation idea using data envelopment analysis

“…DEA is an analytical tool used for business effectiveness evaluations in many areas (Hadad, Friedman, & Israeli, 2005;Wang & Lu, 2015;Yao, Han, & Luo, 2010;Zhu, 2009). DEA is also known to be able to rank different models (Jablonksy, 2016) evaluate risks of the units surveyed (Aldamak & Zolfaghari, 2017;Chang, Chung, Sun, & Yang, 2012), and analytically rank risks (Sheludko & Kirova, 2018). Characteristic which makes it a very good tool for risk ranking is it's capable of handling both one input and one output parameters, and many parameters of one object.…”

Challenges, Alternatives, and Paths to Sustainability: Better Public Health Promotion Using Social Networking Pages as Key Tools

“…Although the administrators originate from the Middle East and share the same religion and heritage, every country and region has its own unique culture, and understanding and coping with all these differences is time-consuming. Personal privacy and confidentiality issues are also serious problems that could discourage people from discussing their problems online [11,12]. Some people may expose their health issues that should not be discussed in public [13].…”