{"title":"Use of Failure Mode and Effect Analysis Methods in Pediatric and Adolescent Hospital Care-A Scoping Review.","authors":"Aino Färlin-Helin, Sakari Suominen, Outi Tuominen","doi":"10.1097/PTS.0000000000001350","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Adverse events (AEs) leading to harm to patients are prevalent across health care. However, a considerable share of AEs are preventable. Failure Mode and Effect Analysis (FMEA) has been effectively used to enhance patient safety and quality. Failure Mode and Effect Analysis (FMEA) has been effectively used to enhance patient safety and quality. This scoping review aims to provide an overview of the studies reporting the use of FMEA, failure mode and criticality analysis (FMECA), and health care Failure Mode and Effect Analysis (HFMEA) in pediatric and adolescent hospital care.</p><p><strong>Methods: </strong>We conducted a systematic search of Web of Science, Scopus, Embase, Cochrane, CINAHL, and PubMed for relevant literature published since 1999. Papers were analyzed based on the FMEA process steps.</p><p><strong>Results: </strong>Eighteen papers were included in the review, assessing 21 processes, primarily involving drug prescribing, dispensing, and administration. Participants in the risk assessment came from various occupational groups. Risk priority numbers varied based on severity, occurrence, and detection. A total of 220 high-risk risk priority numbers were identified. Improvement actions had not been systematically reported.</p><p><strong>Conclusions: </strong>FMEA, FMECA, and HFMEA were successfully used to ensure patient safety in pediatric and adolescent hospital care. These methods can be used to effectively identify possible failures in healthcare processes and in quality improvement and risk reduction. They also enable prioritizing the targets of improvement actions. In addition, the use of risk analysis methods may result in increased awareness of potential safety risks among the workers who have participated in risk assessment.</p>","PeriodicalId":48901,"journal":{"name":"Journal of Patient Safety","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Patient Safety","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PTS.0000000000001350","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Adverse events (AEs) leading to harm to patients are prevalent across health care. However, a considerable share of AEs are preventable. Failure Mode and Effect Analysis (FMEA) has been effectively used to enhance patient safety and quality. Failure Mode and Effect Analysis (FMEA) has been effectively used to enhance patient safety and quality. This scoping review aims to provide an overview of the studies reporting the use of FMEA, failure mode and criticality analysis (FMECA), and health care Failure Mode and Effect Analysis (HFMEA) in pediatric and adolescent hospital care.
Methods: We conducted a systematic search of Web of Science, Scopus, Embase, Cochrane, CINAHL, and PubMed for relevant literature published since 1999. Papers were analyzed based on the FMEA process steps.
Results: Eighteen papers were included in the review, assessing 21 processes, primarily involving drug prescribing, dispensing, and administration. Participants in the risk assessment came from various occupational groups. Risk priority numbers varied based on severity, occurrence, and detection. A total of 220 high-risk risk priority numbers were identified. Improvement actions had not been systematically reported.
Conclusions: FMEA, FMECA, and HFMEA were successfully used to ensure patient safety in pediatric and adolescent hospital care. These methods can be used to effectively identify possible failures in healthcare processes and in quality improvement and risk reduction. They also enable prioritizing the targets of improvement actions. In addition, the use of risk analysis methods may result in increased awareness of potential safety risks among the workers who have participated in risk assessment.
导言:导致患者伤害的不良事件(ae)在整个医疗保健中普遍存在。然而,相当一部分ae是可以预防的。失效模式和效应分析(FMEA)已被有效地用于提高患者的安全和质量。失效模式和效应分析(FMEA)已被有效地用于提高患者的安全和质量。本综述旨在概述在儿科和青少年医院护理中使用FMEA、失效模式和临界性分析(FMECA)以及医疗失效模式和效果分析(HFMEA)的研究。方法:系统检索Web of Science、Scopus、Embase、Cochrane、CINAHL、PubMed等网站1999年以来发表的相关文献。论文分析了基于FMEA的工艺步骤。结果:18篇论文被纳入综述,评估了21个流程,主要涉及药物处方、调剂和给药。风险评估的参与者来自不同的职业群体。风险优先级数字根据严重性、发生和检测而变化。总共确定了220个高风险风险优先数字。没有系统地报告改进行动。结论:FMEA、FMECA和HFMEA的成功应用确保了儿童和青少年医院护理的患者安全。这些方法可用于有效地识别医疗保健流程以及质量改进和风险降低中可能出现的故障。它们还能够对改进行动的目标进行优先排序。此外,使用风险分析方法可以提高参与风险评估的工人对潜在安全风险的认识。
期刊介绍:
Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.