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Volume 5, Issue 3 (Suppl) Occup Med Health Aff, an open access journal
ISSN:2329-6879 Occupational Health-2017
September 13-14, 2017
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September 13-14, 2017 | Dallas, USA
Occupational Health & Safety
6th International Conference and Exhibition on
Occup Med Health Aff 2017, 5:3 (Suppl)
DOI: 10.4172/2329-6879-C1-035
Assessment of risks in operation theatre staff: healthcare failure mode and effect analysis
Shiva Devarakonda
Armed Forces Medical College, India
Background: OT staff are at risk for injury in the operating room daily. Estimates of 400,000 sharp injuries happen every year in the
US, with around a quarter of these being sustained by surgeons. In 2011/12, an estimated 1.1 million people in UK suffered from an
illness that was caused by their work. Over the last decade, there have been five million lost working days from self-reported work-
related injuries and illnesses in the health and social care sector within the UK. The present study was conducted to evaluate the
selected risk processes of Operation Theatre department of a Tertiary care teaching hospital in India by using analysis method of the
conditions and failure effects in health care.
Methods: A mixed method approach of qualitative action research, quantitative cross-sectional and the HFMEA of the care processes
involved in the surgical care pathways of the patients in operation theatre was done to identify and analyze the failure modes and
their effects on staff safety. The identified modes and causes are classified according to the Eindhoven Model and the strategies for
improvement are determined by the creative problem-solving technique.
Results: In five selected processes by voting method using rating, 23 steps, 61 sub-processes and 217 potential failure modes were
identified by HFMEA. A total of 25 (11.5%) major failure modes and 54 (31%) potential causes that are quantitatively measured
as high risk are transferred to the decision tree. Training and Retraining, Communication Skills, Standardization, Monitoring and
Control were the solutions generated for enhancing the employee safety.
Conclusion: UsingHFMEA to identify the possible errors in care processes, causes of each failuremode, and strategies of improvement
is highly effective, and prospective risk analysis in healthcare sector is proposed to transmit an organizational culture from the type
of reaction to the type of error prevention.