Before performing any healthcare act, it is important to understand and identify the possible risks. Once we understand and identify what the risks are, healthcare providers need to decide on their response to that risk and the different scenarios they may be faced with.
This has to be done before any harm is done to patients. Two methods of doing this are the Failure Mode and Effects Analysis (FMEA) and Fault Tree Analysis (FTA). The FMEA is a preventative approach to measure and analyze the probability of error. The FTA is an analytical approach that shows the events that can lead to failure from unexpected life threatening scenarios. The FTA diagram appears as a tree, hence the "tree" analysis.
It contains many different branches of causes and outcomes based on the scenario. Although both the methods provide information on the causes and effects harm, each analysis is done from different angles. Because healthcare organizations have been traditionally reactive rather than proactive, the Joint Commission began requiring use of FMEA as an accreditation standard in 2002.
The purpose of FMEA is to deliver reliability of medical interventions for a standardized process while FTA focuses on delivering patient safety from unexpected mishaps.
Learning Objectives:
- Principles of proactive risk analysis
- The Joint Commission requirements for FMEA
- Safety analysis principles from FTA
- Choosing when to use each tool
- Right use and misuse of FMEA
- Identifying failure modes, risks, and preventive action
- Theory and practice of FTA
- Right use and misuse of FTA
- Real examples of FMEA and FTA
- Improving the culture of safety and reliability
Why Should You Attend:
Attend this training to learn how to predict failure events and potential causes, how to analyze a complex system containing numerous interconnected causes of failure, how to identify causes of a failure before it has happened, how to identify causes of a potential system failure during the process development.
Topics
- Preventing harm to patients before it happens
- Principles of health care reliability
- Principles of healthcare safety
- Step-by-step approach for identifying all possible failures
- Success at VA hospitals
- Fault Tree Analysis benefits
- FTA, a proactive analysis approach to resolve undesired events
- Computing the risks from FMEA and FTA
- Designing the healthcare process for reliability
- Designing the healthcare process for Safety
- Monitoring the progress
- Integrating FMEA and FTA into systems engineering
- Communicating high risks to senior management
Instructor
Dev Raheja, MS,CSP, author of the books Safer Hospital Care and Preventing Medical Device Recalls, is an international risk management, patient safety and quality assurance consultant for medical device, healthcare and aerospace industry for over 25 years.
Prior to becoming a consultant in 1982 he worked at GE Healthcare as Supervisor of Quality Assurance/Manager of Manufacturing, and at Booz-Allen & Hamilton as Risk Management consultant for variety of systems. Currently he is an Adjunct Professor at the Florida Tech for its BBA degree in Healthcare Management and the online faculty at University of Maryland where he teaches courses on Reliability.
He is a Founding Fellow of American College of Healthcare Trustees and a member of American College of Healthcare Executives, He is a former National Malcolm Baldrige Quality Award Examiner in the first batch of examiners.
He serves on the Patient and Families Advisory Council at Johns Hopkins Hospital. He helped them in providing 24/7 access to family members of patients and reduced the number of alarms for nurses so they recognize critical patient needs early.