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• W72695369 abstract "Hospital systems utilize many varied problem-solving processes to address system improvements and ensure patient safety. The Healthcare Failure Mode Effect Analysis (HFMEA) model is one of these tools and uses a multidisciplinary team to look at processes, diagramming the steps involved to identify potential failure points. The application of the HFMEA model allowed one large health care system to address a complex process by prioritizing proactive change improvements in order to prevent postoperative patient-controlled anesthesia oversedation events. The changes implemented identified 16 failure points with a hazard score of 16 or greater. One year later, the established system HFMEA goal was met: oversedation events were reduced by 50%." @default.
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• W72695369 date "2011-06-15" @default.
• W72695369 modified "2023-09-27" @default.
• W72695369 title "PCA oversedation: application of Healthcare Failure Mode Effect (HFMEA) Analysis." @default.
• W72695369 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21667674" @default.
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