FMEA is a systematic method of identifying and preventing system, product and process
problems before they occur. It is focused on preventing problems, enhancing safety, and …

This report was prepared for WHO Patient Safety's Methods and Measures for Patient Safety
Working Group. It provides a basic description of major topic areas relating to human factors …

The authors develop a typology of clinicians' workarounds when using barcoded medication
administration (BCMA) systems. Authors then identify the causes and possible …

Background The '5 whys' technique is one of the most widely taught approaches to root-
cause analysis (RCA) in healthcare. Its use is promoted by the WHO, 1 the English National …

Background Clinical work in the operating room (OR) is considered challenging as it is
complex, dynamic, and often time-and resource-constrained. Important characteristics for …

Changing organizations is difficult. In this article, we analyze how sensemaking that follows
the initiation of change projects relies on the interplay of prospective and retrospective …

Abstract Background Failure Mode and Effects Analysis (FMEA) is a prospective risk
assessment tool that has been widely used within the aerospace and automotive industries …

The application of concepts, theories and methods from systems ergonomics within patient
safety has proved to be an expanding area of research and application in the last decade …

Background Errors are commonplace in health care, including dentistry. It is imperative for
dental professionals to intercept errors before they lead to an adverse event and to mitigate …

The aim of this study was to evaluate the use of Healthcare Failure Mode and Effect Analysis
(HFMEA™) in Dutch health care by means of user feedback. Thirteen HFMEA™ analyses of …