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Application Effect Analysis of RCA on Improving the Management of Medical Equipment-Related Near-Miss Events in ICU of Hospital

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DOI: 10.23977/medsc.2022.030418 | Downloads: 13 | Views: 632

Author(s)

Qinfeng Liu 1, Qianyu Zhang 2, Wei Guo 3, Tao Wang 4

Affiliation(s)

1 Medical Equipment Management Department, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, 710068, China
2 School of Life Science and Technology, Xi 'an Jiaotong University, Xi'an, Shannxi, 710049, China
3 Teaching Management Department, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, 710068, China
4 Department of Medical Imaging, Hospital of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China

Corresponding Author

Wei Guo

ABSTRACT

Objective To explore the application value of RCA analysis method in improving the management of medical equipment-related near-miss events in ICU. Methods The ICU of a hospital in Xi'an used the RCA analysis method to analyze the medical equipment-related near-miss events. Firstly, the proximal causes of the medical equipment-related near-miss events were found out, and the root causes were found through brainstorming. Then, corresponding improvement measures were formulated according to the root causes, and the implementation of improvement measures were supervised. The management effects before and after the implementation of RCA analysis were compared and analyzed. Results After the implementation of RCA analysis improvement measures, in the statistics of the incidence of medical equipment-related near-miss events, the incidence of incomplete equipment accessories, the incidence of equipment self-test failure and the incidence of equipment alarm failure were significantly lower than those before the implementation of improvement measures (c2=5.701, c2=5.128, c2=6.652; P<0.05). Conclusions RCA analysis method can significantly reduce the incidence of medical equipment-related near-miss events, so as to reduce the incidence of medical equipment-related adverse events. It can also improve the management quality of ICU departments and improve patients' satisfaction with inpatient services. RCA analysis can improve the management effect of medical equipment-related near-miss events in ICU. It is a scientific and effective medical activity management tool, and it has high application and promotion value in the management of near-miss events in hospitals.

KEYWORDS

RCA, near-miss events, improvement measures, management quality

CITE THIS PAPER

Qinfeng Liu, Qianyu Zhang, Wei Guo, Tao Wang, Application Effect Analysis of RCA on Improving the Management of Medical Equipment-Related Near-Miss Events in ICU of Hospital. MEDS Clinical Medicine (2022) Vol. 3: 115-120. DOI: http://dx.doi.org/10.23977/medsc.2022.030418.

REFERENCES

[1] Ingole SJ, Chaudhary SN. Maternal Near Miss Events in Tertiary Care Hospital: A Retrospective Observational Study [J]. Journal of Clinical and Diagnostic Research, 2021, 15(4).
[2] Aspden P, Corrigan JM, Wolcott J, et al. Patient safety: achieving a new standard for care [M]. Washington DC: The National Academies Press, 2004.
[3] Wilson S, Barkun J, Bertens K, et al. A Canadian consensus definition of near-miss events in liver surgery for the real-time quality benchmarking of laparoscopic liver surgery [J]. HPB, 2020, 22: S88.
[4] Lima L, Silva L, Dantas J, et al. Root Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review. [J]. Associação Brasileira de Enfermagem, 2021 (6).
[5] Usn D, Ret. J, Usn C, et al. Leadership Root Cause Analysis: Using a Formal Analysis Tool to Dissect and Promote Intrusive Leadership in a U.S. Naval Hospital [J]. Military Medicine, 2021.
[6] Alrahbeni T, Alenezi ME. Root Cause Analysis of Medication Administration Error by Nursing Staff at a Number of Medical Institutes in Riyadh [J]. Journal of Pharmaceutical Research International, 2021.
[7] Teymourlouy S, Choopani A, Kjnaghahi SU, et al. Root Cause Analysis of Falling out of bed in one of the Pediatric Hospitals in Tehran in 2019-2020 [J]. 2021.
[8] Zaman NA, Ghani KS, Ruman MU. Near Miss Obstetric Events and Maternal Death: Experience in Combined Military Hospital, Dhaka. 2020.
[9] Taylor MA, Reynolds CM, Jones R. Challenges and Potential Solutions for Patient Safety in an Infectious-Agent-Isolation Environment: A Study of 484 COVID-19-Related Event Reports Across 94 Hospitals [J]. Patient Safety, 2021, 3(2): 45-62.
[10] Khodadadi V, Bakrani A, Vafaie MH. Factors Affecting Medical Equipment Management in the COVID-19 Pandemic Crisis: A Mixed Qualitative and Quantitative Study [J]. Hospital Practices and Research, 2021, 6(1): 23-28.
[11] Et A, Gf B, Bt C, et al. The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis – ScienceDirect [J]. International Journal of Africa Nursing Sciences, 2020, 13.

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