scholarly journals Integrating Quality Tools and Methods to Analyze and Improve a Hospital Sterilization Process

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 544
Author(s):  
Amira Kammoun ◽  
Wafik Hachicha ◽  
Awad M. Aljuaid
Keyword(s):  
Quality Function Deployment ◽  
Failure Modes ◽  
Integrated Approach ◽  
Effect Analysis ◽  
Healthcare Facilities ◽  
Analysis And Design ◽  
Sterilization Process ◽  
Fmea Method ◽  
Sterilization Service ◽  
Quality Tools

Healthcare facilities are facing major issues and challenges. Hospitals continuously search approaches to improve operations quality, optimize performance, and minimize costs. Specifically, an efficient hospital sterilization process (HSP) allows reusable medical devices (RMDs) to be more quickly available for healthcare activities. In this context, this paper describes an integrated approach developed to analyze HSP and to identify the most critical improvement actions. This proposed approach integrates four quality tools and techniques. Firstly, a structured analysis and design technique (SADT) methodology is applied to describe HSP as a hierarchy of activities and functions. Secondly, the failure modes and effects analysis (FMEA) method is used as a risk assessment step to determine which activity processes need careful attention. Thirdly, a cause–effect analysis technique is used as a tool to help identify all the possible improvement actions. Finally, priority improvement actions are proposed using the quality function deployment (QFD) method. To validate the proposed approach, a real sterilization process used at the maternity services of Hedi-Cheker Hospital in the governorate of Sfax, Tunisia, was fully studied. For this specific HSP, the proposed approach results showed that the two most critical activities were (1) improving the coordination between the sterilization service and the surgery block and (2) minimizing the average duration of the sterilization process to ensure the availability of RMDs in time.

Failure Mode and Effect Analysis (FMEA) for Enhancing Reliability of Water Tube Boiler in Thermal Power Plant

2016 ◽  
Vol 8 (02) ◽  
pp. 79-86
Author(s):  
Kapil Dev Sharma ◽  
Shobhit Srivastava
Keyword(s):  
Power Plant ◽  
Failure Mode ◽  
Thermal Power Plant ◽  
Failure Modes ◽  
Thermal Power ◽  
Effect Analysis ◽  
Water Tube ◽  
Potential Failure ◽  
Fmea Method ◽  
Continuous Power

Failure mode and effect analysis is one of the QS-9000 quality system requirement supplements, with a wide applicability in all industrial fields. FMEA is the inductive failure analysis instruments which can be defined as a methodical group of activities intended to recognize and evaluate the potential failure modes of a product/ process and its effects with an aim to identify actions which could eliminate or reduce the chance of the potential failure before the problem occur. The purpose of this paper is to evaluate the FMEA research and application in the Thermal Power Plant Industry. The research will highlight the application of FMEA method to water tubes (WT) in boilers with an aim to find-out all the major and primary causes of boiler failure and reduce the breakdown for continuous power generation in the plant. Failure Mode and Effect Analysis technique is applied on most critical or serious parts (components) of the plant which having highest Risk Priority Number (RPN). Comparison is made between the quantitative results of FMEA and reliability field data from real tube systems. These results are discussed to establish relationships which are useful for future water tube designs.

scholarly journals The Possible Use of the FMEA Method to Ensure Health Safety of Municipal Water

2010 ◽  
Vol 14-15 (1) ◽  
pp. 143-154 ◽  
Author(s):  
Janusz Rak ◽  
Barbara Tchórzewska-Cieślak
Keyword(s):  
Water Contamination ◽  
Failure Modes ◽  
Tap Water ◽  
Supply System ◽  
Hazardous Substances ◽  
Effect Analysis ◽  
Health Safety ◽  
Municipal Water ◽  
Life Threatening ◽  
Fmea Method

The Possible Use of the FMEA Method to Ensure Health Safety of Municipal WaterThe paper presents the adaptation of failure modes and effect analysis (FMEA) to assess risk associated with the possibility of tap water contamination. In the case of drinking water quality, occurring threats include pollution by hazardous substances that have an impact on life-threatening risk, health risk and environmental risk. The main aim of this paper is to develop a methodology to use the FMEA method for water supply system.

Product Lifecycle Oriented Quality Design System into Supply Chain

2012 ◽  
Vol 468-471 ◽  
pp. 2707-2711
Author(s):  
Xing Yu Jiang ◽  
Long Zhen Xu ◽  
Ling Tong ◽  
Xin Min Zhang
Keyword(s):  
Supply Chain ◽  
Quality Function Deployment ◽  
Failure Modes ◽  
Collaborative Work ◽  
Design System ◽  
Product Lifecycle ◽  
Effect Analysis ◽  
Quality Design ◽  
Voice Of Customer ◽  
And Function

To cope with the challenges of conventional quality design system applied in supply chain, a new method of product lifecycle oriented quality design mode, which integrates voice of customer, quality function deployment (QFD) and failure modes and effect analysis (FMEA), and corresponding organization and function model were all put forward. This mode dealt mainly with constructing and running product lifecycle oriented quality design system, integrated several key technologies such as the integration of QFD and FMEA, task distribution of quality design, integrated technology of computer-supported-collaborative work (CSCW). On the basis of these, applying Java, JSP and JavaServlet to the system, improve working efficiency and shorten the development cycle so as to respond to the fluctuation of market demands as quick as possible. The quality design of some automobile was introduced as an example to verify that the system developed would efficiently meet the requirements of supply chain.

scholarly journals Assessment and Risk Management of Potential Hazards by Failure Modes and Effect Analysis (FMEA) Method in Yazd Steel Complex

2014 ◽  
Vol 04 (03) ◽  
pp. 127-135 ◽  
Author(s):  
Mehrzad Ebrahemzadih ◽  
G. H. Halvani ◽  
Behzad Shahmoradi ◽  
Omid Giahi
Keyword(s):  
Risk Management ◽  
Failure Modes ◽  
Effect Analysis ◽  
Fmea Method

scholarly journals Identifikasi Potensi Modus Kegagalan Yang Dapat Menghambat Kelancaran Proses Pelayanan Rawat Jalan Menggunakan Failure Mode Effect Analysis (FMEA) Di Rumah Sakit BM Jakarta Barat

2020 ◽  
Vol 8 (2) ◽  
pp. 105-113
Author(s):  
Achmaddudin Sudiro
Keyword(s):  
Failure Mode ◽  
Failure Modes ◽  
Outpatient Service ◽  
Outpatient Services ◽  
Effect Analysis ◽  
Outpatient Unit ◽  
Mode Effect ◽  
Potential Failure ◽  
Fmea Method ◽  
Failure Mode Effect Analysis

Outpatient services hosted by the hospital have never been absent from public visits. In fact, every year an outpatient visitor is always increasing. This research intends to identify potential failure mode that can  inhibit of every flow of service in the outpatient care unit using the Failure Mode Effect Analysis (FMEA) method. Qualitative research plan using an observation survey approach and in-depth interviews with the outpatient service head Coordinator conducted in February 2020 on the hospital outpatient unit service process. The results of this study Indicate the potential failure mode that has the value of the RPN above the value of cut off point 180 as many as six out of ten failure modes. Firstly, the check is not on schedule (360), secondly, the patient lags a turn call order Check (270), third, Specific drug failure is not available (245), fourth, general patient protests with the price of the drug (224), fifth, the patient is void to poly (196), the sixth patient registrant online missed sequence number queue (180). Based on the results of the research, hospitals are expected to follow up with the results of this research by conducting a redesign of the process that occurs today using the FMEA to maintain service quality.

scholarly journals Analisa defect produk sheet area corrugator 301 menggunakan metode SPC dan FMEA di PT Indah Kiat

2020 ◽  
Vol 12 (3) ◽  
pp. 332
Author(s):  
Evan Mandala Putra ◽  
Sri Mukti Wirawati ◽  
Pugy Gautama
Keyword(s):  
Process Control ◽  
Production Process ◽  
Statistical Process Control ◽  
Failure Mode ◽  
Failure Modes ◽  
Uneven Surface ◽  
Statistical Process ◽  
Effect Analysis ◽  
Product Defect ◽  
Fmea Method

This study aims to analyze defects in the sheet production process in the 301 Corrugator area by analyzing the total number of sheets produced and the number of sheets that have been damaged over a certain period of time using the Statistical Process Control (SPC) method and Failure Modes and Effect Analysis (FMEA). Based on the research results, there are 6 defects, namely untidy cuts, wrinkled sheets, uneven surface, curved sheets, uneven sides, loose sheet layers. The most dominant defect is uneven surface, which is 185.141 Kg or 60%. Based on the value of the RPN table, the product defect that has the highest value is the loose sheet layer with an RPN value of 245 from the calculation stage of the RPN value, a suggestion is made to reduce defects resulting from the loose sheet layer. From the stage of making improvements, the company should prioritize and focus on the types of disabilities and types of disabilities that have the highest RPN ranking when using the Failure Mode and Effect Analysis (FMEA) method.

An integrated approach for healthcare services risk assessment and quality enhancement

2019 ◽  
Vol 37 (9/10) ◽  
pp. 1183-1208
Author(s):  
Mahdad Pourmadadkar ◽  
Mohammad Ali Beheshtinia ◽  
Kamran Ghods
Keyword(s):  
Risk Assessment ◽  
Quality Function Deployment ◽  
Failure Modes ◽  
Artery Bypass ◽  
Multiple Criteria Decision Making ◽  
Cost Effective ◽  
Integrated Approach ◽  
Healthcare Services ◽  
Quality Enhancement ◽  
Content Type

Purpose The purpose of this paper is to introduce an integrated approach using failure modes and effects analysis (FMEA), multiple-criteria decision making (MCDM), mathematical modeling and quality function deployment (QFD) techniques, for risk assessment and service quality enhancement in coronary artery bypass grafting (CABG) as a treatment for cardiovascular diseases (CVDs). Design/methodology/approach First, the disruptions in the CABG process are identified and prioritized following FMEA instructions, using two MCDM techniques, called analytic hierarchy process (AHP) and TOPSIS. Consequently, several corrective activities are identified and weighted on the basis of QFD. Finally, a mathematical model is established to determine the most cost-effective activities for implementation. The approach is developed in a fuzzy environment to reflect the uncertainty and ambiguity of human reasoning. Findings Regarding the CABG process disruption, a total of 30 failure modes in four main categories were identified and prioritized. Moreover, eight corrective activities were devised and ranked according to their impact on the failure modes. Finally, considering a limited amount of budget, a sensitivity analysis on the mathematical model’s objective function indicated that using 30 percent of the total budget, required to implement all corrective activities, was enough to cover more than 70 percent of the effects of corrective activities on the failure modes. Originality/value This paper contributes to the quality risk assessment knowledge by introducing an integrated approach to evaluate and improve healthcare services quality. Also, the case study conducted on the CABG process has not been done by other related studies in the literature.

Investigating the causal relationships among failure modes, effects and causes: a system dynamics approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fatemeh Shaker ◽  
Arash Shahin ◽  
Saeed Jahanyan
Keyword(s):  
System Dynamics ◽  
Quality Function Deployment ◽  
Failure Modes ◽  
Integrated Approach ◽  
Production Costs ◽  
Causal Relationships ◽  
System Availability ◽  
Content Type ◽  
Proposed Model ◽  
Potential Failure

PurposeThis paper aims to develop a system dynamics (SD) model to identify causal relationships among the elements of failure modes and effects analysis (FMEA), i.e. failure modes, effects and causes.Design/methodology/approachA causal loop diagram (CLD) has been developed based on the results obtained from interdependencies and correlations analysis among the FMEA elements through applying the integrated approach of FMEA-quality function deployment (QFD) developed by Shaker et al. (2019). The proposed model was examined in a steel manufacturing company to identify and model the causes and effects relationships among failure modes, effects and causes of a roller-transmission system.FindingsFindings indicated interactions among the most significant failure modes, effects and causes. Moreover, corrective actions defined to eliminate or relieve critical failure causes. Consequently, production costs decreased, and the production rate increased due to eliminated/decreased failure modes.Practical implicationsThe application of CLD illustrates causal relationships among FMEA elements in a more effective way and results in a more precise recognition of the root causes of the potential failure modes and their easy elimination/decrease. Therefore, applying the proposed approach leads to a better analysis of the interactions among FMEA elements, decreased system's failure rate and increased system availability.Originality/valueThe literature review indicated a few studies on the application of SD methodology in the maintenance area, and no study was performed on the causal interactions among FMEA elements through an FMEA-QFD based SD approach. Although the interactions of these elements are significant and helpful in risks ranking, researchers fail to investigate them sufficiently.

scholarly journals Analisis Kecacatan Produk Fillet Skin On Red Mullet Dengan The Basic Seven Tools Of Quality Dan Usulan Perbaikannya Menggunakan Metode Fmea (Failure Modes And Effect Analysis) Pada PT. Holi Mina Jaya

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Andi Trias Aryanto ◽  
Tuwanku Aria Auliandri
Keyword(s):  
Failure Modes ◽  
Effect Analysis ◽  
Fresh Fish ◽  
Red Mullet ◽  
Fish Product ◽  
Sorting Process ◽  
Basic Quality ◽  
Product Red ◽  
Fmea Method ◽  
Fierce Competition

Increasingly fierce competition make quality becomes a more value in the eyes of consumers. Keeping quality of being a need for companies to be able to stay in business. PT. Holi Mina Jaya is an Indonesian company that is engaged in marine fish processing. One of the flagship products offered are Fillet Skin On Red Mullet. The purpose of this study was to identify factors disability that occurs in the product Red Mullet Fillet Skin On analysis of the seven basic tools of quality and propose improvements to the failure modes and effects analysis (FMEA). The study focused on the stages of production that have a direct impact on the finished products includes receiving, filleting, and washing. This study uses five of the seven basic quality tools, which flow charts, check sheets, histograms, cause and effect diagram and Pareto charts to identify defects. For quality improvement proposals using FMEA method by finding the value of the RPN (Risk Priority Number), have described the RPN value calculation by multiplying the value of Severity, Occurrence and Detection. Highest cause of any kind of disability, like any form of meat are less scrupulous employees, and skilled with the value of RPN 120, not fresh fish product defects are less rigorous sorting process HR RPN value by 54, and the last meat is not clean of thorns is less scrupulous employees with RPN at 36. 

scholarly journals Clinical observations and a Healthcare Failure Mode and Effect Analysis to identify vulnerabilities in the security and accounting of medications in Ontario hospitals: a study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e027629
Author(s):  
Maaike de Vries ◽  
Mark Fan ◽  
Dorothy Tscheng ◽  
Michael Hamilton ◽  
Patricia Trbovich
Keyword(s):  
Failure Mode ◽  
Failure Modes ◽  
Contextual Information ◽  
Research Review ◽  
Effect Analysis ◽  
Healthcare Facilities ◽  
Clinical Observations ◽  
Current Medication ◽  
Flow Diagrams ◽  
Potential Methods

IntroductionAn increasing number of opioids and other controlled substances are being stolen from healthcare facilities, diverting medications from their intended medical use to be used or sold illicitly. Many incidents of medication loss from Canadian hospitals are reported as unexplained losses. Together, this suggests not only that vulnerabilities for diversion exist within current medication-use processes (MUPs), but that hospitals lack robust mechanisms to accurately track and account for discrepancies and loss in inventory. There is a paucity of primary research investigating vulnerabilities in the security and accounting of medications across hospital processes. The purpose of this study is to map hospital MUPs, systematically identify risks for diversion or unintentional loss and proactively assess opportunities for improvements to medication accounting and security.Methods and analysisWe will conduct human factors-informed clinical observations and a Healthcare Failure Mode and Effect Analysis (HFMEA). We will observe hospital personnel in the intensive care unit, emergency department and inpatient pharmacy in two hospitals in Ontario, Canada. Observations will capture how participants complete tasks, as well as gather contextual information about the environment, technologies and processes. A multidisciplinary team will complete an HFMEA to map process flow diagrams for the MUPs in the observed clinical units, identify and prioritise potential methods of medication loss (failure modes) and describe mechanisms or actions to prevent, detect and trace medication loss.Ethics and disseminationWe received province-wide research ethics approval via Clinical Trials Ontario Streamlined Research Review System, and site-specific approvals from each participating hospital. The results from this study will be presented at conferences and meetings, as well as published in peer-reviewed journals. The findings will be shared with hospitals; professional, regulatory and accreditation organisations; patient safety and healthcare quality organisations and equipment and drug manufacturers.

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