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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/18849

Title: Prospective Hazard Analysis of Patient Identification Processes in the Neonatal Intensive Care Unit
Authors: Rooney, Shannon L.
Advisor: Etchells, Edward
Department: Biomedical Engineering
Keywords: Prospective hazard analysis
Patient Identification
Issue Date: 15-Feb-2010
Abstract: Neonatal Intensive Care Unit (NICU) patients present unique patient identification challenges. Prospective hazard analysis (PHA) assesses safety by identifying hazards before an adverse event occurs. This project analyzes a barcoded feeding process in one NICU, and conducts a preliminary evaluation of PHA methods. Observations were conducted to quantify patient identification methods used in one NICU; the unit’s barcoded feeding process was examined for potential failures. The process underwent PHA with two methods, Global Hazard Ratings (GHR), a simplified method developed for this project, and Failure Modes and Effects Analysis (FMEA). FMEA showed greater interrater reliability; there was poor agreement between methods. A list of 21 hazards was developed for the clinical team from the FMEA results. Recommendations are for the unit to formulate and implement mitigation strategies for the identified hazards. Future work involves a more in depth look at FMEA interrater reliability and reliability comparison with other PHA methods.
URI: http://hdl.handle.net/1807/18849
Appears in Collections:Master
Institute of Biomaterials and Biomedical Engineering - Master theses

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