Abstract
Objective: The aim of this study was to identify effective corrective measures to ensure patient safety in the Paediatric Emergency Department (ED). Methods: In order to outline a clear picture of these risks, we conducted a Failure Mode and Effects Analysis (FMEA) and a Failure Mode, Effects, and Criticality Analysis (FMECA), at a Emergency Department of a Children's Teaching Hospital in Northern Italy. The Error Modes were categorised according to Vincent's Taxonomy of Causal Factors and correlated with the Risk Priority Number (RPN) to determine the priority criteria for the implementation of corrective actions. Results: The analysis of the process and outlining the risks allowed to identify 22 possible failures of the process. We came up with a mean RPN of 182, and values >100 were considered to have a high impact and therefore entailed a corrective action. Conclusions: Mapping the process allowed to identify risks linked to health professionals' non-technical skills. In particular, we found that the most dangerous Failure Modes for their frequency and harmfulness were those related to communication among health professionals.
| Original language | English |
|---|---|
| Pages (from-to) | 168-172 |
| Number of pages | 5 |
| Journal | International Emergency Nursing |
| Volume | 21 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jul 2013 |
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Keywords
- Communication failures
- Non-technical skills
- Paediatric Emergency Department
- Patient safety
ASJC Scopus subject areas
- Emergency
Cite this
Identifying and correcting communication failures among health professionals working in the Emergency Department. / Bagnasco, Annamaria; Tubino, Barbara; Piccotti, Emanuela; Rosa, Francesca; Aleo, Giuseppe; Di Pietro, Pasquale; Sasso, Loredana.
In: International Emergency Nursing, Vol. 21, No. 3, 07.2013, p. 168-172.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Identifying and correcting communication failures among health professionals working in the Emergency Department
AU - Bagnasco, Annamaria
AU - Tubino, Barbara
AU - Piccotti, Emanuela
AU - Rosa, Francesca
AU - Aleo, Giuseppe
AU - Di Pietro, Pasquale
AU - Sasso, Loredana
PY - 2013/7
Y1 - 2013/7
N2 - Objective: The aim of this study was to identify effective corrective measures to ensure patient safety in the Paediatric Emergency Department (ED). Methods: In order to outline a clear picture of these risks, we conducted a Failure Mode and Effects Analysis (FMEA) and a Failure Mode, Effects, and Criticality Analysis (FMECA), at a Emergency Department of a Children's Teaching Hospital in Northern Italy. The Error Modes were categorised according to Vincent's Taxonomy of Causal Factors and correlated with the Risk Priority Number (RPN) to determine the priority criteria for the implementation of corrective actions. Results: The analysis of the process and outlining the risks allowed to identify 22 possible failures of the process. We came up with a mean RPN of 182, and values >100 were considered to have a high impact and therefore entailed a corrective action. Conclusions: Mapping the process allowed to identify risks linked to health professionals' non-technical skills. In particular, we found that the most dangerous Failure Modes for their frequency and harmfulness were those related to communication among health professionals.
AB - Objective: The aim of this study was to identify effective corrective measures to ensure patient safety in the Paediatric Emergency Department (ED). Methods: In order to outline a clear picture of these risks, we conducted a Failure Mode and Effects Analysis (FMEA) and a Failure Mode, Effects, and Criticality Analysis (FMECA), at a Emergency Department of a Children's Teaching Hospital in Northern Italy. The Error Modes were categorised according to Vincent's Taxonomy of Causal Factors and correlated with the Risk Priority Number (RPN) to determine the priority criteria for the implementation of corrective actions. Results: The analysis of the process and outlining the risks allowed to identify 22 possible failures of the process. We came up with a mean RPN of 182, and values >100 were considered to have a high impact and therefore entailed a corrective action. Conclusions: Mapping the process allowed to identify risks linked to health professionals' non-technical skills. In particular, we found that the most dangerous Failure Modes for their frequency and harmfulness were those related to communication among health professionals.
KW - Communication failures
KW - Non-technical skills
KW - Paediatric Emergency Department
KW - Patient safety
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U2 - 10.1016/j.ienj.2012.07.005
DO - 10.1016/j.ienj.2012.07.005
M3 - Article
VL - 21
SP - 168
EP - 172
JO - International Emergency Nursing
JF - International Emergency Nursing
SN - 1755-599X
IS - 3
ER -