Dawson Anthony
AORN J. 2019 Sep;110(3):282-287. doi: 10.1002/aorn.12780.
This article discusses the process of Failure Mode and Effects Analysis (FMEA) and how it relates to performance improvement (PI) and the development of high reliability organizations. As a proactive process, PI team members can use FMEA to identify and prioritize risk before errors occur in health care environments. This tool comprises steps to assess the failure risk of a process, system, or function before the failure occurs. Performance improvement team members can use FMEA as an additional tool to guide them when working to create a culture of safe patient care and improve patient outcomes. After reviewing this article, the reader should have a better understanding of FMEA, how to implement it, and how it supports PI processes and high reliability organizations. This is the fourth article of a six-part series about performance improvement.
本文讨论了失效模式与效应分析（FMEA）的过程，以及它与绩效改进（PI）和高可靠性组织发展的关系。作为一个前瞻性的过程，PI团队成员可以使用FMEA在医疗环境中错误发生之前识别风险并确定其优先级。该工具包括在故障发生之前评估过程、系统或功能的故障风险的步骤。绩效改进团队成员在努力营造安全的患者护理文化并改善患者结果时，可以将FMEA作为一种额外的工具来指导他们。阅读本文后，读者应能更好地理解FMEA、如何实施它以及它如何支持PI流程和高可靠性组织。这是关于绩效改进的六部分系列文章中的第四篇。
