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Prospective risk assessment of blood transfusion in Pediatric Emergency Department of Ghaem Hospital by the Health Failure Mode and Effects Analysis (HFMEA) methodology
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H. Ebrhimipour   , Y. Molavi Taleghani , A. Vafaee Najar , S.H. Sayedin , M. Vejdani |
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| Keywords: Key words : Risk Assessment, Blood Transfusion, Emergencies, Pediatrics |
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Full-Text [PDF 529 kb]
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| Abstract (HTML) (7925 Views)
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Type of Study: Research |
Subject:
Blood Transfusion
Published: 2015/01/3
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Full-Text: (2770 Views) |
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Sci J Iran Blood Transfus Organ 2015; 11(4): 325-336
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Prospective risk assessment of blood transfusion
in Pediatric Emergency Department of Ghaem Hospital
by the Health Failure Mode and Effects Analysis
(HFMEA) methodology
Ebrahimipour H.1, Molavi Taleghani Y.1, Vafaee Najar A.1, Seyedin S.H.2, Vejdani M.3
1School of Health, Research Center for Health Sciences of Mashhad University of Medical Sciences, Mashhad, Iran
2School of Health Services Management, Iran University of Medical Sciences, Tehran, Iran
3Social Determinants of Health Research Center of Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract
Background and Objectives
Pediatric emergency departments are high-risk areas in the healthcare setting and blood transfusion is known as the unique clinical measure. This study aims to investigate the prospective risk assessment of blood transfusion in the Pediatric Emergency Department of Ghaem Hospital by the Health Failure Mode and Effects Analysis (HFMEA) methodology.
Materials and Methods
A mixed method )quantitative and qualitative analysis ( was used to analyze failure modes and their effects with HFMEA. For identify and analysis, the potential errors of the transfusion process were used by the “Health Failure Mode and Effects Analysis (HFMEA)” methodology. The study was undertaken using a consensus development panel to which the HFMEATM process was applied.
Results
The HFMEA team identified 8 processes, 24 sub-processes, and 77 possible failures. Thirteen failure modes (hazard score >= 8) were identified and entitled as "failures with non-acceptable risk” and were moved into the decision tree. Among the influencing factors, the most common reasons for error were related to educational factors (27.2%), and the less common reasons for error to patient factors (2%). Action types were classified as acceptance (11.6%), control (74.2%), and elimination (14.2%).
Conclusions
Applying the re-engineering process for the required changes, standardizing and updating the blood transfusion procedures, detecting the root causes of blood transfusion adverse events, using patient identification bracelets, providing training classes and educational pamphlets to raise awareness of the personnel, and holding the monthly transfusion medicine committee have been considered as practical strategies in the work flow of Ghaem Hospital.
Key words: Risk Assessment, Blood Transfusion, Emergencies, Pediatrics
Received: 20 May 2013
Accepted: 6 Aug 2014
Correspondence: Molavi Taleghani Y., MSc of Management. School of Health, Research Center for Health Sciences of Research Center Sciences of Mashhad University of Medical Sciences.
Postal Code: 9137673119, Tehran, Iran. Tel: (+9821) 73013263; Fax: (+9821) 77551584
E-mail:
yasamin_molavi1987@yahoo.com
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Ebrhimipour H, Molavi Taleghani Y, Vafaee Najar A, Sayedin S, Vejdani M. Prospective risk assessment of blood transfusion in Pediatric Emergency Department of Ghaem Hospital by the Health Failure Mode and Effects Analysis (HFMEA) methodology. Sci J Iran Blood Transfus Organ 2015; 11 (4) :325-336 URL: http://bloodjournal.ir/article-1-757-en.html
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