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

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

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.

Suggested Citation

  • Faiella, Giuliana & Parand, Anam & Franklin, Bryony Dean & Chana, Prem & Cesarelli, Mario & Stanton, Neville A. & Sevdalis, Nick, 2018. "Expanding healthcare failure mode and effect analysis: A composite proactive risk analysis approach," Reliability Engineering and System Safety, Elsevier, vol. 169(C), pages 117-126.
    • Handle: RePEc:eee:reensy:v:169:y:2018:i:c:p:117-126
    DOI: 10.1016/j.ress.2017.08.003
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    1. Saleh, J.H. & Marais, K.B. & Bakolas, E. & Cowlagi, R.V., 2010. "Highlights from the literature on accident causation and system safety: Review of major ideas, recent contributions, and challenges," Reliability Engineering and System Safety, Elsevier, vol. 95(11), pages 1105-1116.
    2. Rajagopal, 2014. "The Human Factors," Palgrave Macmillan Books, in: Architecting Enterprise, chapter 9, pages 225-249, Palgrave Macmillan.
    3. Abrahamsen, Håkon Bjorheim & Abrahamsen, Eirik Bjorheim & Høyland, Sindre, 2016. "On the need for revising healthcare failure mode and effect analysis for assessing potential for patient harm in healthcare processes," Reliability Engineering and System Safety, Elsevier, vol. 155(C), pages 160-168.
    4. Mahajan, Haneet Singh & Bradley, Thomas & Pasricha, Sudeep, 2017. "Application of systems theoretic process analysis to a lane keeping assist system," Reliability Engineering and System Safety, Elsevier, vol. 167(C), pages 177-183.
    5. Neville A. Stanton & Mark S. Young, 1999. "What price ergonomics?," Nature, Nature, vol. 399(6733), pages 197-198, May.
    6. Leveson, Nancy, 2015. "A systems approach to risk management through leading safety indicators," Reliability Engineering and System Safety, Elsevier, vol. 136(C), pages 17-34.
    7. Di Pasquale, Valentina & Miranda, Salvatore & Iannone, Raffaele & Riemma, Stefano, 2015. "A Simulator for Human Error Probability Analysis (SHERPA)," Reliability Engineering and System Safety, Elsevier, vol. 139(C), pages 17-32.
    8. Huang, Jia & Li, Zhaojun(Steven) & Liu, Hu-Chen, 2017. "New approach for failure mode and effect analysis using linguistic distribution assessments and TODIM method," Reliability Engineering and System Safety, Elsevier, vol. 167(C), pages 302-309.
    9. Carmignani, Gionata, 2009. "An integrated structural framework to cost-based FMECA: The priority-cost FMECA," Reliability Engineering and System Safety, Elsevier, vol. 94(4), pages 861-871.
    10. Bjerga, Torbjørn & Aven, Terje & Zio, Enrico, 2016. "Uncertainty treatment in risk analysis of complex systems: The cases of STAMP and FRAM," Reliability Engineering and System Safety, Elsevier, vol. 156(C), pages 203-209.
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    3. Jian Wu & Jun Chen & Wei Liu & Yujia Liu & Changyong Liang & Mingshuo Cao, 2022. "A Calibrated Individual Semantic Based Failure Mode and Effect Analysis and Its Application in Industrial Internet Platform," Mathematics, MDPI, vol. 10(14), pages 1-22, July.
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    5. Jing Xiao & Xiuli Wang & Hengjie Zhang, 2022. "Exploring the Ordinal Classifications of Failure Modes in the Reliability Management: An Optimization-Based Consensus Model with Bounded Confidences," Group Decision and Negotiation, Springer, vol. 31(1), pages 49-80, February.
    6. Moath Alrifaey & Tang Sai Hong & Eris Elianddy Supeni & Azizan As’arry & Chun Kit Ang, 2019. "Identification and Prioritization of Risk Factors in an Electrical Generator Based on the Hybrid FMEA Framework," Energies, MDPI, vol. 12(4), pages 1-22, February.
    7. Juntao Zhang & Hyungju Kim & Yiliu Liu & Mary Ann Lundteigen, 2019. "Combining system-theoretic process analysis and availability assessment: A subsea case study," Journal of Risk and Reliability, , vol. 233(4), pages 520-536, August.
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    9. Shin, Sung-Min & Lee, Sang Hun & Shin, Seung Ki & Jang, Inseok & Park, Jinkyun, 2021. "STPA-Based Hazard and Importance Analysis on NPP Safety I&C Systems Focusing on Human–System Interactions," Reliability Engineering and System Safety, Elsevier, vol. 213(C).
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