Health impact (HI-FMEA) decision support application for hospital health technology management
The research aims to create an innovative Healthcare Impact Failure Mode and Effects Analysis (Hi-FMEA) framework approach that integrates patient safety in identifying and prioritizing critical failure modes in medical equipment and derive appropriate mitigation strategies for the identified critic...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ayandegan Institute of Higher Education,
2024-09-01
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| Series: | International Journal of Research in Industrial Engineering |
| Subjects: | |
| Online Access: | https://www.riejournal.com/article_202018_32d87de8a8cd5f5ffc70ccf5879fc7ea.pdf |
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| Summary: | The research aims to create an innovative Healthcare Impact Failure Mode and Effects Analysis (Hi-FMEA) framework approach that integrates patient safety in identifying and prioritizing critical failure modes in medical equipment and derive appropriate mitigation strategies for the identified critical failure modes. The developed Hi-FMEA is a robust framework for identifying, evaluating, and prioritizing failure modes of critical medical equipment, in this case, dialysis machines. Incorporating patient safety, a clear novelty of the technique, enables biomedical engineers to identify and rank critical failure modes. The Hi-FMEA framework was established through risk assessment and patient safety analysis. It involved several factors that govern patient safety and risk: frequency of failures, patient delay time, maintainability, and redundancy. To validate this framework, data was collected in a case study public hospital, pre-processed, and failure modes identified through various data exploratory techniques. Appropriate maintenance strategies to mitigate the critical failure modes were systematically selected using a modified decision tree. Based on the Hi-FMEA technique, leakages and flow pump failure were identified as critical failure modes, and a modified decision tree recommended Condition Based Maintenance (CBM) and design out maintenance strategies for the critical failure modes. The developed framework incorporating Hi-FMEA and decision tree identifies critical failure modes and respective maintenance mitigation strategies, ultimately improving patient safety and ensuring strategic resource allocation. |
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| ISSN: | 2783-1337 2717-2937 |