University of Oklahoma-Tulsa School of Community Medicine, Tulsa, Oklahoma, USA.
AMIA Annu Symp Proc. 2022 Feb 21;2021:707-715. eCollection 2021.
There is a pressing need to provide health professional leaners experiential learning opportunities in health systems science and quality improvement. Moreover, there are several published tools to diagnose and treat health system vulnerabilities and hazards. The Health Care Failure Mode and Effect AnalysisTM (HFMEA) is a systems-engineering tool that the military and aerospace industries developed to proactively identify potential errors. While this technique has been used in a range of healthcare settings, there are few reports where health professional educators have used it with learners to teach quality improvement and systems engineering methods. We describe herewith an application of HFMEA in a medical informatics professional student rotation. In this manuscript, we briefly review HFMEA theory and methods, illustrate its application to address a quality improvement initiative, and reflect upon its value - and limitations - when used in an educational context.
目前迫切需要为卫生专业学习者提供卫生系统科学和质量改进方面的体验式学习机会。此外，还有一些已发布的工具可用于诊断和治疗卫生系统的脆弱性和危害。医疗保健失效模式和效果分析（HFMEA）是一种系统工程工具，由军方和航空航天工业开发，用于主动识别潜在错误。虽然该技术已在一系列医疗保健环境中使用，但很少有报告表明卫生专业教育者已将其与学习者一起用于教授质量改进和系统工程方法。我们在此介绍了 HFMEA 在医学信息学专业学生轮转中的应用。在本文中，我们简要回顾了 HFMEA 的理论和方法，说明了它在解决质量改进计划方面的应用，并思考了它在教育环境中的价值和局限性。
