A systematic quantitative assessment of risks associated with poor communication in surgical care.
HYPOTHESIS: Health care failure mode and effect analysis identifies critical processes prone to information transfer and communication failures and suggests interventions to improve these failures. DESIGN: Failure mode and effect analysis. SETTING: Academic research. PARTICIPANTS: A multidisciplina...
| المؤلفون الرئيسيون: | , , , , , , , |
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| التنسيق: | Journal article |
| اللغة: | English |
| منشور في: |
2010
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| _version_ | 1826282048621379584 |
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| author | Nagpal, K Vats, A Ahmed, K Smith, AB Sevdalis, N Jonannsson, H Vincent, C Moorthy, K |
| author_facet | Nagpal, K Vats, A Ahmed, K Smith, AB Sevdalis, N Jonannsson, H Vincent, C Moorthy, K |
| author_sort | Nagpal, K |
| collection | OXFORD |
| description | HYPOTHESIS: Health care failure mode and effect analysis identifies critical processes prone to information transfer and communication failures and suggests interventions to improve these failures. DESIGN: Failure mode and effect analysis. SETTING: Academic research. PARTICIPANTS: A multidisciplinary team consisting of surgeons, anesthetists, nurses, and a psychologist involved in various phases of surgical care was assembled. MAIN OUTCOME MEASURES: A flowchart of the whole process was developed. Potential failure modes were identified and evaluated using a hazard matrix score. Recommendations were determined for certain critical failure modes using a decision tree. RESULTS: The process of surgical care was divided into the following 4 main phases: preoperative assessment and optimization, preprocedural teamwork, postoperative handover, and daily ward care. Most failure modes were identified in the preoperative assessment and optimization phase. Forty-one of 132 failures were classified as critical, 26 of which were sufficiently covered by current protocols. Recommendations were made for the remaining 15 failure modes. CONCLUSIONS: Modified health care failure mode and effect analysis proved to be a practical approach and has been well received by clinicians. Systematic analysis by a multidisciplinary team is a useful method for detecting failure modes. |
| first_indexed | 2024-03-07T00:37:59Z |
| format | Journal article |
| id | oxford-uuid:820f812f-dd74-49e9-b66b-e11e184b51f2 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:37:59Z |
| publishDate | 2010 |
| record_format | dspace |
| spelling | oxford-uuid:820f812f-dd74-49e9-b66b-e11e184b51f22022-03-26T21:34:46ZA systematic quantitative assessment of risks associated with poor communication in surgical care.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:820f812f-dd74-49e9-b66b-e11e184b51f2EnglishSymplectic Elements at Oxford2010Nagpal, KVats, AAhmed, KSmith, ABSevdalis, NJonannsson, HVincent, CMoorthy, K HYPOTHESIS: Health care failure mode and effect analysis identifies critical processes prone to information transfer and communication failures and suggests interventions to improve these failures. DESIGN: Failure mode and effect analysis. SETTING: Academic research. PARTICIPANTS: A multidisciplinary team consisting of surgeons, anesthetists, nurses, and a psychologist involved in various phases of surgical care was assembled. MAIN OUTCOME MEASURES: A flowchart of the whole process was developed. Potential failure modes were identified and evaluated using a hazard matrix score. Recommendations were determined for certain critical failure modes using a decision tree. RESULTS: The process of surgical care was divided into the following 4 main phases: preoperative assessment and optimization, preprocedural teamwork, postoperative handover, and daily ward care. Most failure modes were identified in the preoperative assessment and optimization phase. Forty-one of 132 failures were classified as critical, 26 of which were sufficiently covered by current protocols. Recommendations were made for the remaining 15 failure modes. CONCLUSIONS: Modified health care failure mode and effect analysis proved to be a practical approach and has been well received by clinicians. Systematic analysis by a multidisciplinary team is a useful method for detecting failure modes. |
| spellingShingle | Nagpal, K Vats, A Ahmed, K Smith, AB Sevdalis, N Jonannsson, H Vincent, C Moorthy, K A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title | A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title_full | A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title_fullStr | A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title_full_unstemmed | A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title_short | A systematic quantitative assessment of risks associated with poor communication in surgical care. |
| title_sort | systematic quantitative assessment of risks associated with poor communication in surgical care |
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