Abstract
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.
Highlights
In recent decades, medical failures, which are referred to as errors or adverse events in a medical service, have attracted much attention in the healthcare industry due to the increasing concern for patient safety [1]
SBM-data envelopment analysis (DEA) and novel data-driven approach (NDA) may improve the discrimination and accuracy of detection compared to the traditional method of failure mode and effects analysis (FMEA)
The prevention of medical failures may consist of two stages: risk assessment and quality improvement to monitor medical failures that may occur in a system
Summary
Medical failures, which are referred to as errors or adverse events in a medical service, have attracted much attention in the healthcare industry due to the increasing concern for patient safety [1]. The occurrence of medical failures may result in additional costs and a reduction in medical quality [2]. The U.S Institute of Medicine reported that preventable medical failures result in 1,000,000 injuries and 44,000–98,000 deaths in hospitalized patients [3] and incur a loss of. Researchers suggest that reducing medical failures is critical for improving patient safety in healthcare systems. The prevention of medical failures may consist of two stages: risk assessment and quality improvement to monitor medical failures that may occur in a system
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