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Kim and Lee: A Study on Failure Mode and Effect Analysis (FMEA) for Preoperative Risk Prevention
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(5): 415-423.

Published online: 31 December 2016

DOI: https://doi.org/10.11111/jkana.2016.22.5.415

A Study on Failure Mode and Effect Analysis (FMEA) for Preoperative Risk Prevention

Chang Hee Kim, Mi Hyang Lee

Department of Nursing, Konyang University, Korea.

Corresponding author: Lee, Mi Hyang. Department of Nursing, Konyang University, 158 Kwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. Tel: +82-42-600-6349, Fax: +82-42-600-6314, haha9453@hanmail.net

Received 26 April 2016       Revised 1 September 2016       Accepted 8 October 2016

Copyright © 2016 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this research was to provide patients with safe preoperative preparatory procedures by removing any risk factors from the preparatory procedures by using failure mode and effects analysis, which is a prospective risk-managing tool.

Methods

This was a research design in which before and after conditions of a single group were studied, Failure mode and effects analysis were applied for the preparatory procedures done before operations.

Results

The preparation omission rate before the operation decreased from 2.70% to 0.04%, and operation cancellation rate decreased from 0.48% to 0.08%.

Conclusion

Failure mode and effects analysis which remove any risk factors for patients in advance of the operation is effective in preventing any negligent accidents.

Keywords: Failure mode and effects analysis, Patient safety, Preoperative

Figures and Tables

Figure 1

Preoperative process

jkana-22-415-g001
Table 1

Scoring System for Severity, Frequency of Occurrence and Detection to Input into Failure Mode and Effects Analysis

jkana-22-415-i001
Table 2

Risk Probability Number (RPN) of 4 Failure Modes

jkana-22-415-i002

Note. The risk priority number (RPN) was calculated by multiplying S, O and D scores.

S=Severity; O=Occurrence; D=Detection; RPN=Risk priority number.

Table 3

Improvement Activities for the Elimination of Potential Risk Factors in Pre-operational Process

jkana-22-415-i003
Table 4

Effects of Applying Failure Mode and Effects Analysis (FMEA)

jkana-22-415-i004

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