Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16029
Title: ENT One Day Surgery: critical analysis with the HFMEA method
Authors: MARQUET, Kristel 
CLAES, Neree 
Postelmans, T.
LEMKENS, Peter 
Rosseel, M.
TORFS, Nan 
VLEUGELS, Arthur 
Issue Date: 2013
Publisher: ROYAL BELGIAN SOC EAR, NOSE, THROAT, HEAD & NECK SURGERY
Source: B-ENT, 9 (3), p. 193-200
Abstract: Objectives: Research shows that 51.4% of adverse events in hospitals occur in surgery(1) and that 3-22% of surgical patients experience adverse events? The risk may be even higher when turnover is high and when patients are children, as is often the case in ear, nose and throat surgery. This quality project therefore started in response to requests from physicians in two hospitals in the Flemish part of Belgium. The aim of this study is to use the Healthcare Failure Mode & Effect Analysis method to evaluate the process flow for ear, nose and throat patients, and to redesign the process to enhance patient safety. Methodology: In two One Day Clinics, processes were prospectively analysed using the Healthcare Failure Mode & Effect Analysis method. Results: Similar potential failures were reported in both hospitals. The major failure mode was linked to the absence of an active identity check throughout the process. The process was therefore redesigned by implementing a surgical safety checklist and an active identity check protocol. Although the Healthcare Failure Mode & Effect Analysis is a time-consuming method, this systematic approach by a multidisciplinary team has been found to be useful in detecting failure modes that need immediate safety responses. The involvement of all disciplines and an open safety culture during the procedure were the most important conditions. Conclusions: The Healthcare Failure Mode & Effect Analysis is a useful instrument for detecting the failure modes in this care process.
Notes: [Marquet, K.; Claes, N.; Vleugels, A.] Hasselt Univ, Fac Med & Life Sci, B-3590 Diepenbeek, Belgium. [Marquet, K.; Rosseel, M.; Torfs, A.] Ziekenhuis Maas & Kempen, Maaseik, Belgium. [Postelmans, T.; Lemkens, P.; Rosseel, M.; Torfs, A.] Ziekenhuis Oost Limburg, Genk, Belgium. [Postelmans, T.] Netherlands Inst Accreditat Healthcare, Utrecht, Netherlands. [Vleugels, A.] KULeuven, Ctr Hlth Serv & Nursing Res, Louvain, Belgium. kristel.marquet@uhasselt.be
Keywords: Otorhinolaryngology;Ear nose and throat surgery; one day surgery; quality improvement; patient safety; process evaluation
Document URI: http://hdl.handle.net/1942/16029
ISSN: 0001-6497
ISI #: 000326554400003
Category: A1
Type: Journal Contribution
Validations: ecoom 2014
Appears in Collections:Research publications

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