Faiella, G;
Parand, A;
Franklin, BD;
Chana, P;
Cesarelli, M;
Stanton, NA;
Sevdalis, N;
(2018)
Expanding healthcare failure mode and effect analysis: A composite proactive risk analysis approach.
Reliability Engineering & System Safety
, 169
pp. 117-126.
10.1016/j.ress.2017.08.003.
Preview |
Text
Franklin_HFMEA Methodological_Reviewed_May 2017 changes accepted.pdf - Accepted Version Download (1MB) | Preview |
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.
| Type: | Article |
|---|---|
| Title: | Expanding healthcare failure mode and effect analysis: A composite proactive risk analysis approach |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ress.2017.08.003 |
| Publisher version: | http://doi.org/10.1016/j.ress.2017.08.003 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Combined prospective risk analysis, HFMEA, SHERPA, STAMP-STPA |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10038217 |
Loading...
Loading...Loading...Loading...Archive Staff Only
 |
View Item |
