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Showing 2 results for Risk Assessment

Dr. H. Ebrhimipour, Y. Molavi Taleghani, Dr. A. Vafaee Najar, Dr. S.h. Sayedin, M. Vejdani,
Volume 11, Issue 4 (1-2015)
Abstract

  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.

 


S. Mohammadi, Dr. M.s. Karimian, S. Khodakarimi, S. Babahajiyani, A. Pourali, S. Vafaei,
Volume 19, Issue 1 (3-2022)
Abstract

Abstract
Background and Objectives
Risk is a combination of the likelihood of an incident occurring and the severity of the consequences if that incident were to occur. The aim of this research is to identify and evaluate the risk factors in the blood donation process in a fixed blood collection center of Saqez city by failure mode and effects analysis (FMEA).

Materials and Methods
It is a descriptive-applied study that was performed in a fixed blood collection center of Saqez in 2020. The researcher collected and analyzed the data using FMEA worksheets. Then the risk priority number is obtained by multiplying the three indicators of failure severity (S), the failure probability of occurrence (O), and the failure detection (D). Finally, the priority was based on the failures.

Results
Finally, 30 sub-processes were identified, of which 20 sub-processes with acceptable risk and 10 sub-processes with unacceptable risk were identified. The highest identified risk is related to the donor not paying attention to safety points before and after blood donation with a priority risk number of 168 and the lowest is attributed to the shaker not alarmed when the blood donation process ends with a RPN of 48.

Conclusions 
Many of the failures identified will be reduced or eliminated by training, providing up-to-date equipment, and changing procedures and working methods.

 


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