Evaluation of physician errors in the referral system of villages and towns populated under twenty thousand in Isfahan, using the (FMEA)

Abstract

Introduction: As any large project, family physician and referral system program was also facing criticism in the executive process; in order to increase effectiveness of plan it is necessary to find and fix its criticism. In this research some errors occurred with of doctor have been identified by use (FMEA) method. Subjects and Methods: This was qualitative study identified the potential failure modes in this program by using group technique and brain storming. According to this, the researcher applied standard FMEA worksheet which is used by researchers and its consistency is assured and the validity is confined by authority professions. After consulting with urban experts of Isfahan province's treatment services in insurance organization in 2009, a suggestion about the family physician failures that have the highest priority number was proposed. Results : The highest and lowest risk priority numbers are the personal tendency of insured person to be referred to and having his or her book imprinted with the physician (33.83) and not referring the patient required to refer (12.86), respectively. Conclusion: In referring patients without need to refer, referral guidelines developed by the Ministry of Health; Getting a good deal of commitment that people want to refer to and consider the book closure period for these individuals and etc., can decrease these errors.