Goodrum Lewis, Varkey Prathibha
Yale New Haven Health, 2 Howe St., New Haven, CT 06511 USA.
Yale New Haven Health Northeast Medical Group, 99 Hawley lane, 3rd Flr, Stratford, CT 06614 USA.
Isr J Health Policy Res. 2017 Feb 20;6:10. doi: 10.1186/s13584-016-0131-2. eCollection 2017.
Prospective hazard analysis methodologies, like failure modes and effects analysis (FMEA), have been tried and tested in the engineering industry and are more recently gaining momentum in healthcare. Considering FMEA's evidence based successes, this commentary makes the case that healthcare is underutilizing the methodology by relying on retrospective hazard analysis. Healthcare leaders should determine where prospective hazard analysis principles could be better built into care delivery planning and processes that will enhance patient safety.
前瞻性危害分析方法，如失效模式与效应分析（FMEA），已在工程行业中得到尝试和检验，最近在医疗保健领域也越来越受到关注。鉴于FMEA基于证据的成功案例，本评论认为医疗保健行业通过依赖回顾性危害分析而未充分利用该方法。医疗保健领导者应确定在哪些方面可以将前瞻性危害分析原则更好地纳入护理交付计划和流程中，以提高患者安全。
