Evidence map›Paper›PMID 27157162›Full record

ArticleGlobal journal of health science2016

A Case Study on Improving Intensive Care Unit (ICU) Services Reliability: By Using Process Failure Mode and Effects Analysis (PFMEA).

Taraneh Yousefinezhadi, Farnaz Attar Jannesar Nobari, Faranak Behzadi Goodari, Mohammad Arab

Abstract read
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Article in Global journal of health science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Intensive Care Unit Risk Assessment: A Systematic Review.Iranian journal of public health · 2020
    Review
  5. A mixed-methods process evaluation of Family Navigation implementation for autism spectrum disorder.Autism : the international journal of research and practice · 2019
    Article
  6. The Canadian journal of hospital pharmacy
    Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Taraneh YousefinezhadiPh.D. Student of Health Policy, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran. t.yousefinezhadi@gmail.com.
Farnaz Attar Jannesar Nobari
Faranak Behzadi Goodari
Mohammad Arab

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn any complex human system, human error is inevitable and shows that can't be eliminated by blaming wrong doers. So with the aim of improving Intensive Care Units (ICU) reliability in hospitals, this research tries to identify and analyze ICU's process failure modes at the point of systematic approach to errors.

methodsIn this descriptive research, data was gathered qualitatively by observations, document reviews, and Focus Group Discussions (FGDs) with the process owners in two selected ICUs in Tehran in 2014. But, data analysis was quantitative, based on failures' Risk Priority Number (RPN) at the base of Failure Modes and Effects Analysis (FMEA) method used. Besides, some causes of failures were analyzed by qualitative Eindhoven Classification Model (ECM).

resultsThrough FMEA methodology, 378 potential failure modes from 180 ICU activities in hospital A and 184 potential failures from 99 ICU activities in hospital B were identified and evaluated. Then with 90% reliability (RPN≥100), totally 18 failures in hospital A and 42 ones in hospital B were identified as non-acceptable risks and then their causes were analyzed by ECM.

conclusionsApplying of modified PFMEA for improving two selected ICUs' processes reliability in two different kinds of hospitals shows that this method empowers staff to identify, evaluate, prioritize and analyze all potential failure modes and also make them eager to identify their causes, recommend corrective actions and even participate in improving process without feeling blamed by top management. Moreover, by combining FMEA and ECM, team members can easily identify failure causes at the point of health care perspectives.

Identifiers

PMID27157162
PMCPMC5064078

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.