Utilizing Integrated Prospective and Retrospective Risk Analysis Method on General Processes Patient Flow in Operating Room in Seyed Alshohada Hospital in Semirom, Iran

Document Type : Original Article

Authors
Hassan Abolghasem Gorji 1
Hamid Ravaghi 1
Maryam Pirouzi 2
Azam Mansourzadeh 3
1 Assistant Professor, Health Services Management, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran , Iran
2 Health Services Management, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran
3 Psychology, Seyed Alshohada Hospital of Semirom, Isfahan, Iran
Abstract
Introduction: Between 50% to two-third (majority) of medical errors occur in operation room and emergency units in hospitals among which 50% are preventable. To increase the patient safety, consolidated prospective and retrospective method errors from 10 selected processes from operation room in Seyed Alshohada Hospital, Semirom, Iran have been identified, evaluated, prioritized and analyzed. Methods: As a descriptive research, the analyses of mode and effects were carried out in this quantitative-qualitative study. Prospective method used in the study was healthcare failure mode and effects analysis (HFMEA) in a 6-month period retrospective method error reporting system. Frequencies obtained by both methods were compared together and error modes and possible causes were identified. Results: Using HFMEA, 187 potential modes in 10 selected processes of operation rooms was selected. Using error report system, 61 reports were survived and subsequent outcome were matched with prospective method and 36 unacceptable errors were identified after decision-making tree analysis and ultimately possible reasons and recommended procedure were proposed. Conclusion: Based on obtained results, using consolidated, retrospective and prospective risk analysis has sufficient efficiency providing a comprehensive view from errors in common process of healthcare units. Keywords: Risk Management; Operation Rooms; Medical Errors