Integrating HFMEA with AHP Model to analysis the patient safety of Impatient Medication Administration Process

• Main Authors: Lin Shu Chic, 林旭志
• Other Authors: Shao-Jen Weng
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/62314277049216856209

碩士 === 東海大學 === 工業工程與經營資訊學系 === 100 === Patient safety issues in recent years studies have shown, how to prevent and reduce medical errors to ensure that patient safety has become the most important issues of world medical care system. Since 2003 the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has taken Healthcare Failure Mode and Effects Analysis (HFMEA) as a formal evaluation criteria, hence HFMEA is an official tool introduced to US medical care system, it is widely used in the implementation of patient safety assessment and risk reduction. HFMEA use the Risk Priority Number (RPN) as indicators to quantify the size of judge the risk, the drawback is to constitute the decision-making factor in RPN weights of the same order would cause cancel each other out to measure the value of blind spot. This study combines the superiority of the Analytic Hierarchy Process (AHP) covers the qualitative and quantitative thinking in decision-making level, use it to make the size of the risk decision-making, can compensate for the lack of HFMEA. In this study, integrating Healthcare Failure Mode and Effects Analysis (HFMEA) techniques and the Analytic Hierarchy Process (AHP) decision-making, review the hospital administration processes in a regional teaching hospital, predict and investigate the potential failure modes and possible results for high-risk project, given the relative value of the weights and sort according to their order of importance, the improvement measures to improve and to enhance the hospital administration job quality and drug safety. Studies have shown that integration HFMEA with AHP in hospital administration process improvement applications which can effectively reduce the error rate of the hospital administration. In the study hospital, before the implementation of HFMEA-AHP project an average of hospital medication error rates is 0.289%, during the HFMEA-AHP project an average of hospital administration error rate is 0.196%, the average error rate after HFMEA-AHP project to improve hospital administration process is 0.079%, so we can said HFMEA-AHP implementation of the project's significant improvement in hospital medication error rates occur. This study suggests that integration HFMEA and the application of the AHP method can be used to assist the judgment of the RPN, effective decision-making as a priority to determine risk factors. In the case of limited resources, integration HFMEA and AHP decided to improve the order of priority, to make optimal utilization of resources. Medical institutions want to enhance the quality of medical care can to integrate HFMEA and AHP method, through a systematic objective and exact assessment of the risks and effectiveness of, and to achieve the synergy of complementary.