ENT One Day Surgery: critical analysis with the HFMEA method
K. Marquet , N. Claes , T. Postelmans , P. Lemkens , M. Rosseel , A. Torfs and A. Vleugels 1
Hasselt University, Faculty of Medicine and Life Sciences, Diepenbeek, Belgium; 2Ziekenhuis Maas & Kempen, 3 4Maaseik, Belgium; Ziekenhuis Oost Li5burg, Genk, Belgium; The Netherlands Institute for Accreditation in Healthcare, Utrecht, The Netherlands; Centre for Health Services and Nursing Research, KULeuven, Leuven, Belgium
Ear nose and throat surgery, one day surgery, quality improvement, patient safety, process evaluation
193 - 200
ENT One Day Surgery: critical analysis with the HFMEA method. Objectives: Research shows that 51.4% of 1 adverse events in hospitals occur in surgery and that 3-22% of surgical patients experience adverse events.² The risk may be even higher when turnover is high and when patients are children, as is often the case in ear, nose and throat surgery. This quality project therefore started in response to requests from physicians in two hospitals in the Flemish part of Bel- gium. The aim of this study is to use the Healthcare Failure Mode & Effect Analysis method to evaluate the process flow for ear, nose and throat patients, and to redesign the process to enhance patient safety. Methodology: In two One Day Clinics, processes were prospectively analysed using the Healthcare Failure Mode & Ef- fect Analysis method. Results: Similar potential failures were reported in both hospitals. The major failure mode was linked to the absence of an active identity check throughout the process. The process was therefore redesigned by implementing a surgical safety checklist and an active identity check protocol. Although the Healthcare Failure Mode & Effect Analysis is a time- consuming meth od, this systematic approach by a multidisciplinary team has been found to be useful in detecting failure modes that need immediate safety responses. The involvement of all disciplines and an open safety culture during the procedure were the most important conditions. Conclusions: The Healthcare Failure Mode & Effect Analysis is a useful instrument for detecting the failure modes in this care process.
Vol. 9, 2013, 3rd trimester

ENT One Day Surgery: critical analysis with the HFMEA method