Identifying and correcting communication failures among health professionals working in the Emergency Department
Autor: | Annamaria, Bagnasco, Barbara, Tubino, Emanuela, Piccotti, Francesca, Rosa, Giuseppe, Aleo, Pasquale, Di Pietro, Loredana, Sasso, Laura, Gambino, Donatella, Passalacqua |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Adult
Male Safety Management Process (engineering) Emergency Nursing Efficiency Organizational Risk Assessment Patient safety Nursing Humans Medicine Failure reporting analysis and corrective action system Hospitals Teaching Patient Care Team Health professionals business.industry Process Assessment Health Care Emergency department Hospitals Pediatric medicine.disease Pediatric Nursing Northern italy Failure mode effects and criticality analysis Italy Female Interdisciplinary Communication Patient Safety Medical emergency Emergency Service Hospital business Failure mode and effects analysis |
Popis: | Objective The aim of this study was to identify effective corrective measures to ensure patient safety in the Paediatric Emergency Department (ED). Methods In order to outline a clear picture of these risks, we conducted a Failure Mode and Effects Analysis (FMEA) and a Failure Mode, Effects, and Criticality Analysis (FMECA), at a Emergency Department of a Children's Teaching Hospital in Northern Italy. The Error Modes were categorised according to Vincent's Taxonomy of Causal Factors and correlated with the Risk Priority Number (RPN) to determine the priority criteria for the implementation of corrective actions. Results The analysis of the process and outlining the risks allowed to identify 22 possible failures of the process. We came up with a mean RPN of 182, and values >100 were considered to have a high impact and therefore entailed a corrective action. Conclusions Mapping the process allowed to identify risks linked to health professionals' non-technical skills. In particular, we found that the most dangerous Failure Modes for their frequency and harmfulness were those related to communication among health professionals. |
Databáze: | OpenAIRE |
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