{"title":"使用医疗保健失败模式和效果分析（HFMEA）工具评估医疗保健环境中的针刺伤害风险。","authors":"Rasika Joshi, Neha Ahire, Parag Rishipathak","doi":"10.1080/00185868.2025.2536283","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare workers (HCWs) are exposed to needle stick injuries (NSIs), putting them at risk of contracting diseases such as Hepatitis B (HB) and AIDS. This study aims to identify and assess the risk of injuries caused by needles and sharps among healthcare personnel in a tertiary care hospital in Pune, by application of healthcare failure mode and effect analysis (HFMEA) tool.</p><p><strong>Aim and objectives: </strong>The study aims to assessing NSI risks in healthcare environments using the HFMEA tool.</p><p><strong>Objectives: </strong>To identify the determinants of NSI using HFMEA as tool.To suggest necessary recommendations based on risk severity of failure modes.</p><p><strong>Methods: </strong>The study utilizes retrospective data from the incidence reports of the hospital. A total of 25 incidence reported were included in the study during the period January 2022-March 2023. The collected data from incidence reports were analyzed using the HFMEA tool was used to identify failure modes for NSIs and assess risk priority numbers (RPNs) and understand severity.</p><p><strong>Findings and analysis: </strong>Total 11 failure modes scored high scored RPN. Failure mode with RPN more than 200 was selected for intervention to prevent NSIs. Reasons for NS injuries were found to be recapping, not discarding sharp immediately after procedure, transferring sharp from one person to another and casual attitudes.</p><p><strong>Conclusion: </strong>HFMEA as a tool is effective and can be used to prevent NSI. Continuous education and training programs on the safe handling of needles would help prevent NSIs in the hospitals.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-6"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing Needle-Stick Injury Risks in Healthcare Settings Using the Healthcare Failure Mode and Effect Analysis (HFMEA) Tool.\",\"authors\":\"Rasika Joshi, Neha Ahire, Parag Rishipathak\",\"doi\":\"10.1080/00185868.2025.2536283\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Healthcare workers (HCWs) are exposed to needle stick injuries (NSIs), putting them at risk of contracting diseases such as Hepatitis B (HB) and AIDS. This study aims to identify and assess the risk of injuries caused by needles and sharps among healthcare personnel in a tertiary care hospital in Pune, by application of healthcare failure mode and effect analysis (HFMEA) tool.</p><p><strong>Aim and objectives: </strong>The study aims to assessing NSI risks in healthcare environments using the HFMEA tool.</p><p><strong>Objectives: </strong>To identify the determinants of NSI using HFMEA as tool.To suggest necessary recommendations based on risk severity of failure modes.</p><p><strong>Methods: </strong>The study utilizes retrospective data from the incidence reports of the hospital. A total of 25 incidence reported were included in the study during the period January 2022-March 2023. The collected data from incidence reports were analyzed using the HFMEA tool was used to identify failure modes for NSIs and assess risk priority numbers (RPNs) and understand severity.</p><p><strong>Findings and analysis: </strong>Total 11 failure modes scored high scored RPN. Failure mode with RPN more than 200 was selected for intervention to prevent NSIs. Reasons for NS injuries were found to be recapping, not discarding sharp immediately after procedure, transferring sharp from one person to another and casual attitudes.</p><p><strong>Conclusion: </strong>HFMEA as a tool is effective and can be used to prevent NSI. Continuous education and training programs on the safe handling of needles would help prevent NSIs in the hospitals.</p>\",\"PeriodicalId\":55886,\"journal\":{\"name\":\"Hospital Topics\",\"volume\":\" \",\"pages\":\"1-6\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hospital Topics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/00185868.2025.2536283\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hospital Topics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/00185868.2025.2536283","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
Assessing Needle-Stick Injury Risks in Healthcare Settings Using the Healthcare Failure Mode and Effect Analysis (HFMEA) Tool.
Introduction: Healthcare workers (HCWs) are exposed to needle stick injuries (NSIs), putting them at risk of contracting diseases such as Hepatitis B (HB) and AIDS. This study aims to identify and assess the risk of injuries caused by needles and sharps among healthcare personnel in a tertiary care hospital in Pune, by application of healthcare failure mode and effect analysis (HFMEA) tool.
Aim and objectives: The study aims to assessing NSI risks in healthcare environments using the HFMEA tool.
Objectives: To identify the determinants of NSI using HFMEA as tool.To suggest necessary recommendations based on risk severity of failure modes.
Methods: The study utilizes retrospective data from the incidence reports of the hospital. A total of 25 incidence reported were included in the study during the period January 2022-March 2023. The collected data from incidence reports were analyzed using the HFMEA tool was used to identify failure modes for NSIs and assess risk priority numbers (RPNs) and understand severity.
Findings and analysis: Total 11 failure modes scored high scored RPN. Failure mode with RPN more than 200 was selected for intervention to prevent NSIs. Reasons for NS injuries were found to be recapping, not discarding sharp immediately after procedure, transferring sharp from one person to another and casual attitudes.
Conclusion: HFMEA as a tool is effective and can be used to prevent NSI. Continuous education and training programs on the safe handling of needles would help prevent NSIs in the hospitals.
期刊介绍：
Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.
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