Utility of Failure Mode and Effect Analysis to Improve Safety in Suctioning by Orotracheal Tube

作者：Vazquez Valencia Agustin^*; Santiago Saez Andres; Perea Perez Bernardo; Labajo Gonzalez Elena; Albarran Juan Maria Elena

来源：Journal of PeriAnesthesia Nursing, 2017, 32(1): 28-37.

DOI：10.1016/j.jopan.2015.03.014

• patient safety
• FMEA
• orotracheal suctioning
• ETT
• improvement actions
• RPN

Objective: The objective of the study was to use the Failure Mode and Effect Analysis (FMEA) tool to analyze the technique of secretion suctioning on patients with an endotracheal tube who were admitted into an intensive care unit.
Materials and Methods: Brainstorming was carried out within the service to determine the potential errors most frequent in the process. After this, the FMEA was applied, including its stages, prioritizing risk in accordance with the risk prioritization number (RPN), selecting improvement actions in which they have an RPN of more than 300.
Results: We obtained 32 failure modes, of which 13 surpassed an RPN of 300. After our result, 21 improvement actions were proposed for those failure modes with RPN scores above 300.
Conclusions: FMEA allows us to ascertain possible failures so as to later propose improvement actions for those which have an RPN of more than 300. 2016 by American Society of PeriAnesthesia Nurses

• 出版日期2017-2