Failure mode and effects analysis applied to the maintenance and repair of anesthetic equipment in an austere medical environment
| Autor: | Megan K. Marx, Adaora Chima, Onyebuchi U. Ogbuagu, Michael Koroma, Eric V. Jackson, Michael A. Rosen, Thaim B. Kamara, Benjamin H. Lee, Rahul Koka, John Sampson |
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| Rok vydání: | 2014 |
| Předmět: |
Maintenance
media_common.quotation_subject Plan (drawing) Environment Sierra Leone Sierra leone Tertiary Care Centers Resource (project management) Anesthesiology Humans Medicine Operations management Function (engineering) media_common Medical Errors business.industry Communication Health Policy Public Health Environmental and Occupational Health Health technology General Medicine Spare part Physical access Equipment Failure business Failure mode and effects analysis |
| Zdroj: | International Journal for Quality in Health Care. 26:404-410 |
| ISSN: | 1464-3677 1353-4505 |
| DOI: | 10.1093/intqhc/mzu053 |
| Popis: | Objective. Medical technology designed for Western settings frequently does not function adequately or as intended when placed in an austere clinical environment because of issues such as the instability of the electrical grid, environmental conditions, access to replacement parts, level of provider training and general absence of biomedical engineering support. The purpose of this study was to demonstrate the feasibility of applying failure mode and effects analysis as part of an implementation strategy for medical devices in austere medical settings. Design. Observational case-study. Setting/Participants/Intervention. We conducted failure mode and effects analysis sessions with 16 biomedical engineering technicians at two tertiary-care hospitals in Freetown, Sierra Leone. The sessions focused on maintenance and repair processes for the Universal Anaesthesia Machine. Participating biomedical engineers detailed local maintenance and repair processes and failure modes, including resource availability, communication challenges, use errors and physical access to the machine. Main Outcome Measure(s). Qualitative descriptive themes in barriers perceived and solutions generated by biomedical engineers. Results. Solutions generated involved redesigned work processes to increase the efficiency of identifying machine malfunctions, clinician engagement strategies, a formal plan for acquiring spare parts and plans for improving access to the machine. Follow-up interviews indicated solutions generated were implemented and perceived to be effective. Conclusions. This study demonstrates the feasibility of using the failure mode and effects analysis approach to improve implementation of technology in austere medical environments. |
| Databáze: | OpenAIRE |
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