scholarly journals Theory-Based Failure Modes and Effect Analysis for Medication Errors

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Saeid Jafarzadeh Ghoushchi ◽  
Shadi Dorosti ◽  
Mohd Nizam Ab Rahman ◽  
Marzieh Khakifirooz ◽  
Mahdi Fathi
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Medication Errors ◽  
Failure Modes ◽  
Multiple Criteria Decision Making ◽  
Medication Administration ◽  
Healthcare Management ◽  
Accurate Information ◽  
Effect Analysis ◽  
Product Assessment

Medication Errors (MEs) are still significant challenges, especially in nonautomated health systems. Qualitative studies are mostly used to identify the parameters involved in MEs. Failing to provide accurate information in expert-based decisions can provoke unrealistic results and inappropriate corrective actions eventually. However, mostly, some levels of uncertainty accompany the decisions in real practice. This study tries to present a hybrid decision-making approach to assigning different weights to risk factors and considering the uncertainty in the ranking process in the Failure Modes and Effect Analysis (FMEA) technique. Initially, significant MEs are identified by three groups of qualified experts (doctors, nurses, and pharmacists). Afterward, for assigning weights to the risk factors, Z-number couples with the Stepwise Weight Assessment Ratio Analysis (SWARA) method, named Z-SWARA, to add reliability concept in the decision-making process. Finally, the identified MEs are ranked through the developed Weighted Aggregated Sum Product Assessment (WASPAS) method, namely, Z-WASPAS. To demonstrate the applicability of the proposed approach, the ranking results compare with typical methods, such as fuzzy-WASPAS and FMEA. The findings of the present study highlight improper medication administration as the main failure mode, which can result in a fatality or patient injury. Moreover, the utilization of multiple-criteria decision-making methods in combination with Z-number can be a useful tool in the healthcare management field since it can address the problems by considering reliability and uncertainty simultaneously.

Improving risk evaluation in FMEA with a hybrid multiple criteria decision making method

2015 ◽  
Vol 32 (7) ◽  
pp. 763-782 ◽  
Author(s):  
Hu-Chen Liu ◽  
Jian-Xin You ◽  
Xue-Feng Ding ◽  
Qiang Su
Keyword(s):  
Decision Making ◽  
Failure Modes ◽  
Multiple Criteria Decision Making ◽  
Multiple Criteria ◽  
Analytic Hierarchy ◽  
Effect Analysis ◽  
Maintenance Strategies ◽  
Content Type ◽  
Safety And Reliability ◽  
Hierarchy Process

Purpose – The purpose of this paper is to develop a new failure mode and effect analysis (FMEA) framework for evaluation, prioritization and improvement of failure modes. Design/methodology/approach – A hybrid multiple criteria decision-making method combining VIKOR, decision-making trial and evaluation laboratory (DEMATEL) and analytic hierarchy process (AHP) is used to rank the risk of the failure modes identified in FMEA. The modified VIKOR method is employed to determine the effects of failure modes on together. Then the DEMATEL technique is used to construct the influential relation map among the failure modes and causes of failures. Finally, the AHP approach based on the DEMATEL is utilized to obtain the influential weights and give the prioritization levels for the failure modes. Findings – A case study of diesel engine’s turbocharger system is provided to illustrate the potential application and benefits of the proposed FMEA approach. Results show that the new risk priority model can be effective in helping analysts find the high risky failure modes and create suitable maintenance strategies. Practical implications – The proposed FMEA can overcome the shortcomings and improve the effectiveness of the traditional FMEA. Particularly, the dependence and interactions between different failure modes and effects have been addressed by the new failure analysis method. Originality/value – This paper presents a systemic analytical model for FMEA. It is able to capture the complex interrelationships among various failure modes and effects and provide guidance to analysts by setting the suitable maintenance strategies to improve the safety and reliability of complex systems.

A novel FMEA model based on fuzzy multiple-criteria decision-making methods for risk assessment

2020 ◽  
Vol 33 (5) ◽  
pp. 881-904 ◽  
Author(s):  
Reza Fattahi ◽  
Reza Tavakkoli-Moghaddam ◽  
Mohammad Khalilzadeh ◽  
Nasser Shahsavari-Pour ◽  
Roya Soltani
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Decision Making ◽  
Failure Mode ◽  
Failure Modes ◽  
Multiple Criteria Decision Making ◽  
Decision Makers ◽  
Content Type ◽  
Proposed Model ◽  
Priority Weights

PurposeRisk assessment is a very important step toward managing risks in various organizations and industries. One of the most extensively applied risk assessment techniques is failure mode and effects analysis (FMEA). In this paper, a novel fuzzy multiple-criteria decision-making (MCDM)-based FMEA model is proposed for assessing the risks of different failure modes more accurately.Design/methodology/approachIn this model, the weight of each failure mode is considered instead of risk priority number (RPN). Additionally, three criteria of time, cost and profit are added to the three previous risk factors of occurrence (O), severity (S) and detection (D). Furthermore, the weights of the mentioned criteria and the priority weights of the decision-makers calculated by modified fuzzy AHP and fuzzy weighted MULTIMOORA methods, respectively, are considered in the proposed model. A new ranking method of fuzzy numbers is also utilized in both proposed fuzzy MCDM methods.FindingsTo show the capability and usefulness of the suggested fuzzy MCDM-based FMEA model, Kerman Steel Industries Factory is considered as a case study. Moreover, a sensitivity analysis is conducted for validating the achieved results. Findings indicate that the proposed model is a beneficial and applicable tool for risk assessment.Originality/valueTo the best of authors’ knowledge, no research has considered the weights of failure modes, the weights of risk factors and the priority weights of decision-makers simultaneously in the FMEA method.

Learning from failures: Design improvements using a multiple criteria decision-making process

2003 ◽  
Vol 217 (4) ◽  
pp. 207-216 ◽  
Author(s):  
G G Davidson ◽  
A W Labib
Keyword(s):  
Decision Making ◽  
Failure Modes ◽  
Multiple Criteria Decision Making ◽  
Multiple Criteria ◽  
Mathematical Representation ◽  
Analytic Hierarchy ◽  
Proposed Model ◽  
Invaluable Tool ◽  
History Of

This paper proposes a new concept of decision analysis based on a multiple criteria decision making (MCDM) process. This is achieved through the provision of a systematic and generic methodology for the implementation of design improvements based on experience of past failures. This is illustrated in the form of a case study identifying the changes made to Concorde after the 2000 accident. The proposed model uses the analytic hierarchy process (AHP) mathematical model as a backbone and integrates elements of a modified failure modes and effects analysis (FMEA). The AHP has proven to be an invaluable tool for decision support since it allows a fully documented and transparent decision to be made with full accountability. In addition, it facilitates the task of justifying improvement decisions. The paper is divided as follows: the first section presents an outline of the background to the Concorde accident and its history of related (non-catastrophic) malfunctions. The AHP methodology and its mathematical representation are then presented with the integrated FMEA applied to the Concorde accident. The case study arrives at the same conclusion as engineers working on Concorde after the accident: that the aircraft may fly again if the lining of the fuel tanks are modified.

A risk-based integrated decision-making model for green supplier selection

Kybernetes ◽  
2019 ◽  
Vol 49 (4) ◽  
pp. 1229-1252 ◽  
Author(s):  
Morteza Yazdani ◽  
Prasenjit Chatterjee ◽  
Dragan Pamucar ◽  
Manuel Doval Abad
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Supplier Selection ◽  
Potential Contribution ◽  
Effect Analysis ◽  
Content Type ◽  
Green Supplier Selection ◽  
Construction Company ◽  
Green Suppliers ◽  
Decision Making Model

Purpose Supply chain (SC) environment is surrounded by risk variables. This issue is regarded as an emerging and strategic problem which must be resolved by SC executives. The ability to measuring green supplier’s performance and affecting risk variables to demonstrating effective suppliers list has a potential contribution to be investigated. This paper aims to develop a decision-making model to assess green suppliers under legislation and risk factors. This leads to fewer disruptions in managing the SC and its impact to further improvement. It also presents research concepts forming a new approach for identification, prediction and understating relationship of supply risk. Design/methodology/approach At primal stage, different risk factors that influence green suppliers’ performance are indicated and their relationship is analyzed using decision-making trial and evaluation laboratory (DEMATEL) method. At the same time, failure mode and effect analysis is used to determine risk rating of each supplier. Finally, the evaluation based on distance from average solution (EDAS) method ranks suppliers and several comparisons and analysis are performed to test the stability of the results. The approaches include comparison to technique for order performance by similarity to ideal solution, multi-attributive border approximation area comparison, Vlse Kriterijumska Optimizacija I Kompromisno Resenje and complex proportional assessment methods, followed by analysis of rank reversal, weight sensitivity analysis and effect of dynamic metrics. Findings A real-time case study on green supplier selection (GSS) problem of a reputed construction company of Spain has been presented to demonstrate the practical aspects of the proposed method. In practice, though organizations are aware of various risks from local and global suppliers, it is difficult to incorporate these risk factors for ranking the suppliers. This real-case application shows the evaluation and incorporation of risk factors into the supplier selection model. Practical implications The proposed multi-criteria decision model quantitatively aids managers in selecting green suppliers considering risk factors. Originality/value A new model has been developed to present a sound mathematical model for solving GSS problems which considers the interaction between the supplier selection risk factors by proposing an integrated analytical approach for selecting green suppliers strategically consisting of DEMATEL, FMEA and EDAS methods.

Using Statistical Model of Failure Mode Effect Analysis for Risk Factors in Industrial Logistics

2015 ◽  
Vol 803 ◽  
pp. 113-120
Author(s):  
Petr Prusa ◽  
Anastasia Kuptcova ◽  
Jan Chocholac ◽  
Srecko Krile ◽  
Miroslav Nadvornik
Keyword(s):  
Risk Factors ◽  
Failure Modes ◽  
Business Plan ◽  
Powerful Method ◽  
Effect Analysis ◽  
Statistical Reliability ◽  
Estimated Parameters ◽  
Mode Effect ◽  
Improved Performance ◽  
Failure Mode Effect Analysis

The paper presents Six-Sigma methodologies, which is powerful method for increasing quality and development of manufacturing, by understanding risk factors, can suggest proper and thoughtful decision-making that may protect the business plan from causes. This study examines a framework of improved performance under the possible influence of different failure modes. Econometric verification presents statistical assumptions for the application of estimated procedures in the area of logistics, especially in the area of industrial logistics. The statistical method for the methodology is to test statistical reliability and the significance of estimated parameters for the analysis of numerical values of risk priority.

Family Perceptions of Medication Administration at School: Errors, Risk Factors, and Consequences

2008 ◽  
Vol 24 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Daniel Clay ◽  
Karen Farris ◽  
Ann Marie McCarthy ◽  
Michael W. Kelly ◽  
Robyn Howarth
Keyword(s):  
Risk Factors ◽  
Medication Errors ◽  
Medication Management ◽  
Medication Administration ◽  
Health Condition ◽  
School Nurses ◽  
Family Perceptions ◽  
Students With Adhd ◽  
Physical Consequences ◽  
The Impact

Medications are administered every day in schools across the country. Researchers and clinicians have studied school nurses’ and educators’ experiences with medication administration, but not the experiences of children or their parents. This study examined medication administration from the child and parent perspectives to (a) determine problems children experience with medicines at school, (b) clarify risk factors for medication errors, and (c) examine the perceived impact of medication errors on school performance and social relationships. Participants included children ages 8 to 18 years ( n = 157) being treated at a large Midwestern Children’s Hospital in diabetes, asthma, and Attention Deficit Hyperactivity Disorder (ADHD) clinics. Findings suggest that forgetting a dose and running out of medication were the most common problems. Missing a dose was more frequent in students with ADHD than in students with diabetes or asthma. Medication nonadherence at school, which includes medication administration errors such as missing a dose, may potentially lead to a variety of educational, social/emotional, and physical consequences. These results indicate that the impact of missing medication on children with ADHD appeared to have a greater effect on schoolwork and friendships, while the physical consequences appeared to vary widely based on health condition. Interestingly, children with more self-responsibility for medications were less likely to report medication errors. School nurses will want to include students when planning for medication management at school.

Evaluation of risks in foodgrains supply chain using failure mode effect analysis and fuzzy VIKOR

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rishabh Rathore ◽  
J. J. Thakkar ◽  
J. K. Jha
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Supply Chain ◽  
Failure Mode ◽  
Risk Mitigation ◽  
Supply Chain System ◽  
Effect Analysis ◽  
Content Type ◽  
Fuzzy Vikor ◽  
Multiple Attribute

PurposeThis paper investigates the risks involved in the Indian foodgrain supply chain (FSC) and proposes risk mitigation taxonomy to enable decision making.Design/methodology/approachThis paper used failure mode and effect analysis (FMEA) for risk estimation. In the traditional FMEA, risk priority number (RPN) is evaluated by multiplying the probability of occurrence, severity and detection. Because of some drawbacks of the traditional FMEA, instead of calculating RPN, this paper prioritizes the FSC risk factors using fuzzy VIKOR. VIKOR is a multiple attribute decision-making technique which aims to rank FSC risk factors with respect to criteria.FindingsThe findings indicate that “technological risk” has a higher impact on the FSC, followed by natural disaster, communication failure, non-availability of procurement centers, malfunctioning in PDS and inadequate storage facility. Sensitivity analysis is performed to check the robustness of the results.Practical implicationsThe outcomes of the study can help in deriving detailed risk mitigation strategy and risk mitigation taxonomy for the improved resilience of FSC.Originality/valueSpecifically, this research investigates the risks for foodgrains supply chain system for a developing country such as India, an area which has received limited attention in the present literature.

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