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|Title: ||Evaluation of time and cost saving modifications of HFMEA: an experimental approach in radiotherapy|
|Authors: ||Vlayen, Annemie|
|Issue Date: ||2011|
|Citation: ||Journal of Patient Safety, 7(3), p. 165-168|
|Abstract: ||Objective: This study aimed to evaluate different shortcuts of Healthcare
Failure Mode and Effects Analysis (HFMEA) in a radiotherapy setting.
Design: A 2 2 study design was set up, in which 4 similar groups
analyzed separately the possible risks of the same process by using different
versions of HFMEA.
Setting: In the Maastricht Radiation Oncology clinic, a radiotherapy
institute in the Netherlands, treatment of cancer patients is organized
within 3 different units, each focusing on a specific area (thorax, abdomen,
and neck-head). The institute plans to treat all radiation areas in
one generalized unit (Linac-pool).
Participants: All 4 teams were composed of 3 radiation technologists
(1 from each working unit), 1 manager radiation technologist, and
Interventions: Prospective risk analyses were completed in parallel
within 1 month.
Main Outcome Measures: Time investment and cost data on the
different steps of the HFMEAs were registered from the organizations’
perspective. Each team suggested a number of corrective actions for the
Linac-pool. The quality and feasibility of the proposed actions were
assessed by an expert panel (managers and safety staff ).
Results: The HFMEA analyses resulted in direct costs varying from
1028.6 to 1701.6 euros. In total, the expert panel assessed 86 corrective
actions, of which 43 (50%) were relevant to implement before the start
of the Linac-pool. Many of these actions related to the compliance, control,
and education of standard operating procedures in daily practice of
Conclusions: On the basis of the results of this case study, it seems
feasible to develop less time- and cost-consuming versions of HFMEA,
which would increase even more the added value of prospective risk
analysis tools for health care organizations.|
|Type: ||Journal Contribution|
|Appears in Collections: ||Research publications|
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