Expanding healthcare failure mode and effect analysis: A composite proactive risk analysis approach

Giuliana Faiella, Anam Parand, Bryony Dean Franklin, Prem Chana, Mario Cesarelli, Neville A. Stanton and Nick Sevdalis

Reliability Engineering and System Safety, 2018, vol. 169, issue C, 117-126

Abstract: Healthcare Failure Mode and Effect Analysis (HFMEA) is a systematic risk assessment method derived from high risk industries to prospectively examine complex healthcare processes. Like most methods, HFMEA has strengths and weaknesses. In this paper we provide a review of HFMEA's limitations and we introduce an expanded version of traditional HFMEA, with the addition of two safety management techniques: Systematic Human Error Reduction and Prediction Analysis (SHERPA) and Systems-Theoretic Accident Model and Processes – Systems-Theoretic Process Analysis (STAMP-STPA). The combination of the three methodologies addresses significant HFMEA limitations. To test the viability of the proposed hybrid technique, we applied it to assess the potential failures in the process of administration of medication in the home setting. Our findings suggest that it is both a viable and effective tool to supplement the analysis of failures and their causes. We also found that the hybrid technique was effective in identifying corrective actions to address human errors and detecting failures of the constraints necessary to maintain safety.

Keywords: Combined prospective risk analysis; HFMEA; SHERPA; STAMP-STPA (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (11)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:reensy:v:169:y:2018:i:c:p:117-126

DOI: 10.1016/j.ress.2017.08.003

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