IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i24p16430-d996722.html
   My bibliography  Save this article

Proactive Risk Assessment through Failure Mode and Effect Analysis (FMEA) for Perioperative Management Model of Oral Anticoagulant Therapy: A Pilot Project

Author

Listed:
  • Fausta Micheletta

    (Nuova Itor, Clinica accreditata, 00158 Rome, Italy
    These authors contributed equally to this work.)

  • Michela Ferrara

    (Department of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy
    These authors contributed equally to this work.)

  • Giuseppe Bertozzi

    (Department of Clinical and Experimental Medicine, Section of Forensic Pathology, University of Foggia, 71122 Foggia, Italy)

  • Gianpietro Volonnino

    (Department of Anatomical, Histological, Forensic Medicine and Orthopedic Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Maria Nasso

    (Nuova Itor, Clinica accreditata, 00158 Rome, Italy)

  • Raffaele La Russa

    (Department of Clinical and Experimental Medicine, Section of Forensic Pathology, University of Foggia, 71122 Foggia, Italy)

Abstract

Introduction: Correct perioperative management of anticoagulant therapy is essential to prevent thromboembolic events and reduce the risk of bleeding. The lack of universally accepted guidelines makes perioperative anticoagulant therapy management difficult. The present study aims to identify the perioperative risks of oral anticoagulant therapy and to reduce adverse events through Failure Mode and Effect Analysis (FMEA). Materials and Methods: A multidisciplinary working group was set up, and four main phases of the process were identified. Each of these phases was divided into micro-activities to identify the related possible failure modes and their potential consequences. The Risk Priority Number was calculated for each failure mode. Results and Discussion: Seventeen failure modes were identified in the entire perioperative period; those with a higher priority of intervention concern the incorrect timing between therapy suspension and surgery, and the incorrect assessment of the bleeding risk related to the invasive procedure. Conclusion: The FMEA method can help identify anticoagulant therapy perioperative failures and implement the management and patient safety of surgical procedures.

Suggested Citation

  • Fausta Micheletta & Michela Ferrara & Giuseppe Bertozzi & Gianpietro Volonnino & Maria Nasso & Raffaele La Russa, 2022. "Proactive Risk Assessment through Failure Mode and Effect Analysis (FMEA) for Perioperative Management Model of Oral Anticoagulant Therapy: A Pilot Project," IJERPH, MDPI, vol. 19(24), pages 1-9, December.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16430-:d:996722
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/24/16430/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/24/16430/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Andrea Piccioni & Sara Cicchinelli & Luisa Saviano & Emanuele Gilardi & Christian Zanza & Mattia Brigida & Gianluca Tullo & Gianpietro Volonnino & Marcello Covino & Francesco Franceschi & Raffaele La , 2020. "Risk Management in First Aid for Acute Drug Intoxication," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
    2. Christian Zanza & Fabrizio Racca & Yaroslava Longhitano & Andrea Piccioni & Francesco Franceschi & Marco Artico & Ludovico Abenavoli & Aniello Maiese & Giovanna Passaro & Gianpietro Volonnino & Raffae, 2021. "Risk Management and Treatment of Coagulation Disorders Related to COVID-19 Infection," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
    3. Raffaele La Russa & Stefano Ferracuti, 2022. "Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk," IJERPH, MDPI, vol. 19(2), pages 1-2, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Raffaele La Russa & Stefano Ferracuti, 2022. "Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk," IJERPH, MDPI, vol. 19(2), pages 1-2, January.
    2. Basile, L.J. & Carbonara, N. & Panniello, U. & Pellegrino, R., 2024. "The role of big data analytics in improving the quality of healthcare services in the Italian context: The mediating role of risk management," Technovation, Elsevier, vol. 133(C).
    3. Raffaele La Russa & Rocco Valerio Viola & Stefano D’Errico & Mariarosaria Aromatario & Aniello Maiese & Paolo Anibaldi & Christian Napoli & Paola Frati & Vittorio Fineschi, 2021. "Analysis of Inadequacies in Hospital Care through Medical Liability Litigation," IJERPH, MDPI, vol. 18(7), pages 1-10, March.
    4. Domenico Lagreca & Lucia Federica Carpagnano & Marco Benvenuto, 2023. "Quali profili di capacit? e competenze per il Patient Safety Manager?," MECOSAN, FrancoAngeli Editore, vol. 2023(126), pages 151-183.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16430-:d:996722. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.