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ORIGINAL ARTICLE
Year : 2013  |  Volume : 1  |  Issue : 4  |  Page : 237-242

Risk assessment in eye surgery: A hospital in Iran


1 Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
3 Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Correspondence Address:
Marzieh Fattahi
Student Research Committee, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-9019.130745

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Introduction: Clinical risk management and medical errors have become a basic part in every hospital management. The critical complexity that controls the conditions of very ill patients in some specialized units like the operating room may increase the number of errors in providing healthcare services. Using failure mode and effect analysis (FMEA) method, the present study attempts to identify, assess and provide appropriate actions to control, reduce and eliminate the potential risks in the operating room in Feiz hospital in 2012. Materials and Methods: The present study is a qualitative research conducted in 2012 through direct observation, interview with the officials and authorities in the operating room, and available document review. The participants include the authorities in hospital units and those aware of processes in the operating room. To collect the data, the standard worksheet of the FMEA technique was used. Findings: Based on the authorities' point of view, eight main actions were selected to analyze the potential errors. The finding suggested that 35 failure modes were identified in the operating rooms at the Feiz hospital in Isfahan from among which seven potential failure modes were related to injection and transfusion, four to prechecking the apparatuses, 14 to the cares before and during the surgery, four to the cares after the surgery, one to the sterilization of the apparatuses, three to admitting the patients in the operating room, one to checking the blood glucose, and one to checking the doctors' instructions and prescriptions. Discussion: Based on the results presented, the following priorities were found to eliminate or reduce the identified errors: teaching the Haemovigilance system and an identification guideline of the patient to the personnel, full awareness of drugs and their possible side effects, teaching fluid therapy, controlling the operation of the apparatuses, teaching the health processes and controlling infection, and so on. Hospitals can easily provide a list of the required specific errors reported in the centers and introduce some approaches to deliver the services and enhance their quality, by performing a simple comprehensive technique and analysis, like the one presented in this study in all units.


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