Using Failure Mode and Effects Analysis in Improving Nursing Blood Sampling at an International Specialized Cancer Center

Abstract

Background:The process of blood sampling is considered one of the primary and most common nursing invasive procedures carried out daily. Any failure at any point could have a severe negative impact on patient outcomes. Purpose: This project aimed to assess and improve the nursing blood sampling process in a specialized cancer center using failure mode and effect analysis (FMEA). Methods: An observational analytical design of the nursing blood sampling process using FMEA was conducted in King Hussein Cancer Center in Amman, Jordan. Seven steps were conducted, including a review of the blood sampling process, brainstorming potential failures, listing potential effects of each failure mode, assigning a severity rating for each potential effect, assigning a frequency/occurrence rating for each failure mode, assigning a detection rating scale for each failure mode, and calculating the Risk Priority Number (RPN) for each effect. Results: Eight (out of 28) main critical failure modes with more than 200 RPN were identified in the blood sampling process. Accordingly, five themes were developed to guide the corrective actions. These themes included: process and responsibility modifications, resource and information technology utilization, patients and family engagement, safety culture, and education and training after implementation of the corrective actions. This resulted in a 58 % reduction in the RPN of major failure modes. Conclusion: Many factors lead to blood sampling errors. A critical focus should be conducted on the preparation phase due to the possible errors that may occur. Proper identification of patients and blood sample tests are the keys to a significant decrease in blood sampling errors.

Measuring Occupational Fatigue among Higher and Middle Management at a Specialized Cancer Center during the COVID-19 Pandemic

“…• To create a multidisciplinary team in each hospital, if there is financial and managerial support, to follow COVID-19 related issues. The adoption of shared governace model is considered one of important strategies to support effective collaboration between the health professionals (Al-Ruzzieh et al, 2022;Ayaad et al, 2018) • To utilize updated e-collaburative tools and e-health which plays important roles to enhance team effectiveness and quality of services (Qaddumi et al, 2021;Sharikh et al, 2020) • To re-desing the process of care using advance approach such as lean, lean six sigma, and failure mode and effect analysis approaches to enhance the effectiveness and safety of work processes and enhance the staff and patient satisfaction (Ayaad et al, 2019;Haroun et al, 2021) • To outsource the services to professional and operational agency to cover the staff and equipement related problems (Ayaad et al, 2022) • Further studies need to be conducted in other settings and on larger sample sizes to generalize the study's findings.…”

Reducing the Risk of Fall among Oncology Patients using Failure Modes and Effects Analysis

“…The study conducted a proactive risk assessment within a specialized cancer facility in Muscat, Oman, utilizing FMEA approach to evaluate and enhance fall risk assessments in outpatient settings. The primary goal was to reduce the risk of patient falls among oncology patients in outpatient care, drawing on existing research that had explored diverse interventions for fall mitigation in outpatient environments [ 15 , 14 , 18 , 29 ].…”

“…Traditionally, initiatives addressing patient falls often adopt a reactive stance, responding after an adverse event occurs. In contrast, this study took a proactive stance by employing the FMEA methodology to preemptively identify weaknesses in the fall assessment process within outpatient settings, uncover root causes, and predict resultant effects [ 15 , 14 , 18 , 29 ]. By proactively utilizing the FMEA methodology, this project aimed to flag potential issues in fall risk assessments before they actualize and proactively mitigate associated risks.…”

“…Patient falls in outpatient settings are often linked to human error, where lapses in fall risk evaluations or management by healthcare personnel can lead to adverse events. Inadequate fall risk assessments may stem from incomplete evaluations by healthcare providers or the omission of validated assessment tools, emphasizing the need for comprehensive fall risk screenings [ 15 , 14 , 18 , 29 ]. Furthermore, noncompliance with established protocols and miscommunications among healthcare teams can contribute to misconceptions or ineffective management of fall risk, underscoring the importance of clear communication and adherence to standardized protocols in mitigating patient fall risks [ 15 , 14 , 18 , 29 ].…”

“…In the context of healthcare facilities, FMEA emerges as a promising tool for addressing and mitigating the risks of patient falls by pinpointing potential failure modes, analyzing their impact, and implementing risk-reduction strategies. Studies by Dehnavieh et al [ 13 ] and Haroun et al [ 14 ] have utilized FMEA to enhance service quality and operational efficiency.…”