Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city

Background: Injuries related to failures and errors due to clinical interventions in patient hospitalization period in hospital are the main reasons of mortality and mortality in worldwide. This study tries to identify and description ICU care failures and assessing the causes of risks, Severity, Oc...

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Main Authors: sima marzban, mahshid Moeini Naini, Sayed hossein Ardehali, jaber hekmatyar, aliamir Savadkouhi
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2017-04-01
Series:بیمارستان
Subjects:
Online Access:http://jhosp.tums.ac.ir/article-1-5623-en.html
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spelling doaj-ddfd3224ad4540e58ac39d596f7843f22021-09-04T06:27:06ZfasTehran University of Medical Sciencesبیمارستان2008-19282228-74502017-04-011618191Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran citysima marzban0mahshid Moeini Naini1Sayed hossein Ardehali2jaber hekmatyar3aliamir Savadkouhi4 Assistant professor, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran MSc in Health Care Management, Expert at Moheb Kosar Hospital, Tehran, Iran Department of Anesthesiology and Critical Care, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran M.Sc. Student in, Shahid Beheshti University of Medical Sciences, Tehran, Iran (*Corresponding author), Email: j.hekmatyar67@gmail.com Iranian Society of Anesthesiology and Critical Care, Tehran, Iran Background: Injuries related to failures and errors due to clinical interventions in patient hospitalization period in hospital are the main reasons of mortality and mortality in worldwide. This study tries to identify and description ICU care failures and assessing the causes of risks, Severity, Occurrence and identifying risk probability ratio and risk prioritizing using FMEA method. Materials and Methods: This study was carried out in order to evaluating existing situation using Failure Mode and Effect Analysis and utilizes volere logic to plan the patient safety management system. This study performed in the intensive care unit of Loghman Hakim hospital in Iran. Results: Study finding revealed sixteen routine failures and its priorities which the five main issues were documented as error in decision phase for patients admission or in-admission (PRN 1000), error in discharge time of patient from ICU (PRN 1000), insufficient infection control (PRN 1000) and error in clinical ordering and prescriptions (PRN 800). Conclusion: The main requirements of the patient safety management identified as planning standards and clinical guidelines, developing evidence based admission and non admission indicators, enacting infection control rules and education of anticipating standards places, hand washing and disinfecting instrument and equipments.http://jhosp.tums.ac.ir/article-1-5623-en.htmlpatient safetyfailure mode and effect analysisintensive care unitclinical governance
collection DOAJ
language fas
format Article
sources DOAJ
author sima marzban
mahshid Moeini Naini
Sayed hossein Ardehali
jaber hekmatyar
aliamir Savadkouhi
spellingShingle sima marzban
mahshid Moeini Naini
Sayed hossein Ardehali
jaber hekmatyar
aliamir Savadkouhi
Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
بیمارستان
patient safety
failure mode and effect analysis
intensive care unit
clinical governance
author_facet sima marzban
mahshid Moeini Naini
Sayed hossein Ardehali
jaber hekmatyar
aliamir Savadkouhi
author_sort sima marzban
title Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
title_short Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
title_full Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
title_fullStr Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
title_full_unstemmed Planning the Patient Safety Management System Using Failure Mode and Effect Analysis in ICU Care: A Case Study in Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences in Tehran city
title_sort planning the patient safety management system using failure mode and effect analysis in icu care: a case study in loghman hakim hospital shahid beheshti university of medical sciences in tehran city
publisher Tehran University of Medical Sciences
series بیمارستان
issn 2008-1928
2228-7450
publishDate 2017-04-01
description Background: Injuries related to failures and errors due to clinical interventions in patient hospitalization period in hospital are the main reasons of mortality and mortality in worldwide. This study tries to identify and description ICU care failures and assessing the causes of risks, Severity, Occurrence and identifying risk probability ratio and risk prioritizing using FMEA method. Materials and Methods: This study was carried out in order to evaluating existing situation using Failure Mode and Effect Analysis and utilizes volere logic to plan the patient safety management system. This study performed in the intensive care unit of Loghman Hakim hospital in Iran. Results: Study finding revealed sixteen routine failures and its priorities which the five main issues were documented as error in decision phase for patients admission or in-admission (PRN 1000), error in discharge time of patient from ICU (PRN 1000), insufficient infection control (PRN 1000) and error in clinical ordering and prescriptions (PRN 800). Conclusion: The main requirements of the patient safety management identified as planning standards and clinical guidelines, developing evidence based admission and non admission indicators, enacting infection control rules and education of anticipating standards places, hand washing and disinfecting instrument and equipments.
topic patient safety
failure mode and effect analysis
intensive care unit
clinical governance
url http://jhosp.tums.ac.ir/article-1-5623-en.html
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