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Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures

In recent decades, many researchers have focused on the issue of medical failures in the healthcare industry. A variety of techniques have been employed to assess the risk of medical failure and to generate strategies to reduce the frequency of medical failures. Considering the limitations of the tr...

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Autores principales: Yu, Shih-Heng, Su, Emily Chia-Yu, Chen, Yi-Tui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209884/
https://www.ncbi.nlm.nih.gov/pubmed/30241385
http://dx.doi.org/10.3390/ijerph15102069
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author Yu, Shih-Heng
Su, Emily Chia-Yu
Chen, Yi-Tui
author_facet Yu, Shih-Heng
Su, Emily Chia-Yu
Chen, Yi-Tui
author_sort Yu, Shih-Heng
collection PubMed
description In recent decades, many researchers have focused on the issue of medical failures in the healthcare industry. A variety of techniques have been employed to assess the risk of medical failure and to generate strategies to reduce the frequency of medical failures. Considering the limitations of the traditional method—failure mode and effects analysis (FMEA)—for risk assessment and quality improvement, this paper presents two models developed using data envelopment analysis (DEA). One is called the slacks-based measure DEA (SBM-DEA) model, and the other is a novel data-driven approach (NDA) that combines FMEA and DEA. The relative advantages of the three models are compared. In this paper, an infant security case consisting of 16 failure modes at Western Wake Medical Center in Raleigh, North Carolina, U.S., was employed. The results indicate that both SBM-DEA and NDA may improve the discrimination and accuracy of detection compared to the traditional method of FMEA. However, NDA was found to have a relative advantage over SBM-DEA due to its risk assessment capability and precise detection of medical failures.
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spelling pubmed-62098842018-11-02 Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures Yu, Shih-Heng Su, Emily Chia-Yu Chen, Yi-Tui Int J Environ Res Public Health Article In recent decades, many researchers have focused on the issue of medical failures in the healthcare industry. A variety of techniques have been employed to assess the risk of medical failure and to generate strategies to reduce the frequency of medical failures. Considering the limitations of the traditional method—failure mode and effects analysis (FMEA)—for risk assessment and quality improvement, this paper presents two models developed using data envelopment analysis (DEA). One is called the slacks-based measure DEA (SBM-DEA) model, and the other is a novel data-driven approach (NDA) that combines FMEA and DEA. The relative advantages of the three models are compared. In this paper, an infant security case consisting of 16 failure modes at Western Wake Medical Center in Raleigh, North Carolina, U.S., was employed. The results indicate that both SBM-DEA and NDA may improve the discrimination and accuracy of detection compared to the traditional method of FMEA. However, NDA was found to have a relative advantage over SBM-DEA due to its risk assessment capability and precise detection of medical failures. MDPI 2018-09-20 2018-10 /pmc/articles/PMC6209884/ /pubmed/30241385 http://dx.doi.org/10.3390/ijerph15102069 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yu, Shih-Heng
Su, Emily Chia-Yu
Chen, Yi-Tui
Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title_full Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title_fullStr Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title_full_unstemmed Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title_short Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
title_sort data-driven approach to improving the risk assessment process of medical failures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209884/
https://www.ncbi.nlm.nih.gov/pubmed/30241385
http://dx.doi.org/10.3390/ijerph15102069
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