Risk Assessment of Using Entonox for the Relief of Labor Pain: A Healthcare Failure Modes and Effects Analysis Approach
Introduction: In order to prevent medical errors, it is important to know why they occur and to identify their causes. Healthcare failure modes and effects analysis (HFMEA) is a type of qualitative descriptive that is used to evaluate the risk. The aim of this study was to assess the risks of usin...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
Electronic Physician
2016-03-01
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Series: | Electronic Physician |
Subjects: | |
Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844482/ |
Summary: | Introduction: In order to prevent medical errors, it is important to know why they occur and to identify their
causes. Healthcare failure modes and effects analysis (HFMEA) is a type of qualitative descriptive that is used to
evaluate the risk. The aim of this study was to assess the risks of using Entonox for labor pain by HFMEA.
Methods: A mixed-methods design (qualitative action research and quantitative cross-sectional research) was
used. The modes and effects of failures in the process of using Entonox were detected and analyzed during 2013- 2014 at Hefdahe Shahrivar Hospital, Mashhad, Iran. Overall, 52 failure modes were identified, with 25 being
recognized as high-risk modes.
Results: The results revealed that 48.5% of these errors fall into the care process type, 22.05% belong to the
communicative type, 19.1% fall into the administrative type, and 10.2% are of the knowledge and skills type.
Strategies were presented in the forms of acceptance (3.2%), control (90.3%), and elimination (6.4%).
Conclusion: The following actions are suggested for improving the process of using Entonox: Close supervision
by the midwife, precise recording of all the stages of the process in the woman’s medical record, the necessity of
the presence of the anesthesiologist at the woman’s bedside during labor, confirming the indications for use of
Entonox, and close monitoring to ensure the safety of the gas cylinder guards. |
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ISSN: | 2008-5842 2008-5842 |