Root-Cause Analysis and Health Failure Mode and Effect Analysis: Two Leading Techniques in Health Care Quality Assessment

Shaqdan, Khalid W.; Aran, Shima; Besheli, Laleh Daftari; Abujudeh, Hani H.

doi:10.1016/j.jacr.2013.10.024

Cited by 37 publications

(27 citation statements)

References 10 publications

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“…Root Cause Analysis process must starts first with forming a team that consists of members from all layers of staffs who have basic knowledge of the specific areas involved (Shaqdan et al, 2014). The IPC Committee at the Mother and Child Hospital of Kendangsari MERR Surabaya has established its own team to conduct RCA.…”

Section: Organize a Teammentioning

confidence: 99%

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Root Cause Analysis on Hospital Standards and Joint Commission International Standards: a Comparative Study

Lanida

Yustiawan

Dzykryanka³

2019

JAKI

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Background: Healthcare Associated Infections (HAIs) are infections that patients caught during medical treatment and health care. Prevention and control of infection will lead to patient safety, which ultimately has an impact on efficiency, management of health care facilities, and improvement of service quality. Infection can be controlled by identifying the causes. One method to achieve this goal is the Root Cause Analysis (RCA).Aim: This study aims to analyze the implementation of Root Couse Analysis (RCA) conducted by the Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari MERR Surabaya.Method: This is a quantitative observational research that utilizes descriptive data analysis. This study is a cross sectional study and its results are presented narratively.Results: Results show that the Joint Commission International Standard 2015 version of RCA was not fully implemented at the Mother and Child Hospital of Kendangsari MERR Surabaya. Some methods, such as the fishbone and Plan-Do-Study-Action (PDSA), were not implemented. Limited resources became the contributing factor.Conclusion: Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari Merr Surabaya has implemented 9 out of 21 RCA steps of the Joint Commission International Standard 2015. The hospital needs to use other methods as an addition to the 5 Why’s in implementing RCA, such as fishbone diagrams and Plan-Do-Study-Action (PDSA), for problem solving planning. Keywords: Root Cause Analysis (RCA), HAIs, Infection prevention and control.

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Section: Organize a Teammentioning

confidence: 99%

“…The fourth process is to designate the problem by asking 5W1H questions that are important and relevant to the incident (Shaqdan et al, 2014). Mother and Child Hospital of Kendangsari MERR Surabaya has carried out this fourth stage.…”

Section: Determine What Happenedmentioning

confidence: 99%

Root Cause Analysis on Hospital Standards and Joint Commission International Standards: a Comparative Study

Lanida

Yustiawan

Dzykryanka³

2019

JAKI

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“…Examples of these terms relevant to the process of obtaining a skin biopsy specimen can be found in Table II. HFMEA has been applied successfully to processes in a number of areas within medicine, including blood transfusion administration, surgical instrument sterilization, medication administration on oncology wards and intensive care units, ordering magnetic resonance imaging scans for patients, and others, [15][16][17][18][19][20] but it has not yet been applied in dermatology. In these other fields, applying HFMEA principles has led to reduced errors, the recognition of previously unidentified systems errors, and in some cases, improved mortality.…”

Section: Health Care Failure Mode and Effect Analysis Key Pointsmentioning

confidence: 99%

Skin biopsy

Stratman

Elston

Miller

2016

Journal of the American Academy of Dermatology

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The skin biopsy pathway involves numerous communication requirements, technical events, human handoffs, and cognitive decisions. Every step in the process has an error rate >0. To deliver the highest quality care, dermatologists obtaining skin biopsy specimens should implement systems in their office to minimize errors. This includes the prevention of wrong-site surgery, which in most instances involves accurate communication of the correct biopsy location to the performing surgeon. Part II of this continuing medical education article presents techniques for assessing and planning improvement to the skin biopsy pathway in your office, and provides a simple online quality improvement activity that allows Board-certified dermatologists the opportunity to potentially improve aspects of the skin biopsy process in their own practices, and in the process obtain Maintenance of Certification credit.

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“…Even though it is out of the scope of the present article, we could mention some points regarding the application of risk analysis methods as part of an ecosystem cybersecurity approach for networked medical devices. First, known risk analysis methods such as Failure Mode and Effect Analysis (FMEA), or Health FMEA (HFMEA) (Shaqdan et al, 2014) do not seem to grasp the full scope of the cybersecurity risks that can be addressed in our ecosystem approach. Approaches based on FMEA-type risk analysis typically address risks due to design failures rather than to malicious attacks.…”

Section: A Value Blueprint Approach To Cybersecurity In Networked Medmentioning

confidence: 99%

A Value Blueprint Approach to Cybersecurity in Networked Medical Devices

Tanev

Tzolov

Apiafi

2015

Technology Innovation Management Review

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Root-Cause Analysis and Health Failure Mode and Effect Analysis: Two Leading Techniques in Health Care Quality Assessment

Cited by 37 publications

References 10 publications

Root Cause Analysis on Hospital Standards and Joint Commission International Standards: a Comparative Study

Root Cause Analysis on Hospital Standards and Joint Commission International Standards: a Comparative Study

Skin biopsy

A Value Blueprint Approach to Cybersecurity in Networked Medical Devices

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