Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system

Jt Comm J Qual Improv. 2002 May;28(5):248-67, 209. doi: 10.1016/s1070-3241(02)28025-6.

Authors

Joseph DeRosier¹, Erik Stalhandske, James P Bagian, Tina Nudell

Affiliation

¹ Department of Veterans Affairs, VA National Center for Patient Safety (10X), 24 Frank Lloyd Wright Drive, Lobby M, PO Box 486, Ann Arbor, MI 48106-0486, USA. Joseph.DeRosier@med.va.gov

PMID: 12053459
DOI: 10.1016/s1070-3241(02)28025-6

Abstract

The authors describe HFMEA, a five-step process used to proactively evaluate a health care process, and provide examples of a team's forms and actions regarding prostate-specific antigen testing.

MeSH terms

Algorithms
Causality
Data Interpretation, Statistical
Decision Trees
Equipment Failure Analysis
Hospitals, Veterans / standards*
Humans
Institutional Management Teams
Medical Errors / classification
Medical Errors / prevention & control*
Process Assessment, Health Care / methods*
Program Development
Risk Assessment / methods*
Risk Management / methods
Safety Management / methods*
Systems Analysis*
United States