Error Proofing in Healthcare

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Other Title
  • 医療におけるエラープルーフ化
  • イリョウ ニ オケル エラープルーフカ

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Abstract

Many error proofing solutions have been implemented successfully in healthcare. Most of them, however, are implemented in relative isolation, without the benefit of the knowledge of the wider body of error proofing solutions in related healthcare areas. Moreover, most of them are implemented after errors cause serious accidents, a more proactive approach using FMEA is necessary. This paper understood that a process of implementing error proofing solutions was consisted of three phases: (1) identifying improvement opportunities, (2) generating solutions, and (3) evaluating and selecting solutions, and then identified the difficulties in each phase. It also provided three support tools for overcoming these difficulties: (1) HGFM (Health-care General Failure Modes), (2) QGEPS (Questions for Generating Error Proofing Solutions) and (3) SPN (Solution Priority Number), and discussed the effectiveness of these tools through six actual error proofing projects in healthcare. As for the results, the three phase approach and the supporting tools were found to be useful for increasing the number of failure modes listed for each subprocess and the number of error proofing solutions generated for each critical failure mode, and can enable us to implement error proofing solutions more efficiently.

Journal

  • Iryo To Shakai

    Iryo To Shakai 16 (1), 127-137, 2006

    The Health Care Science Institute

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