Abstract
Introduction: The study consists of two objectives. The first objective is to assess the risks associated with the whole process of treatment using home-care lung ventilation (HLV). The main source for describing such risks were foreign studies. The other objective is to compare risk assessment methods based on the current situation in the Czech Republic and in the world. Methods: The selected methods—Failure Mode and Effects Analysis (FMEA), Health Failure Mode and Effects Analysis (HFMEA), Fault Tree Analysis (FTA) and Root Cause Analysis (RCA)—were compared using comparative analysis, and subsequently examined, in the specific area of home-care lung ventilation. Results: The final objective is to design a model for risk assessment in the field of home mechanical ventilation based on the existing knowledge. This model includes both a prospective and a retrospective analysis. Their appropriateness of use is documented in this paper; according to their specificities they are used in a variety of areas. Discussion: Implementation of risk analyses in this area can contribute to increasing the safety and quality of provided care, and at the same time help attract more support to the home-care lung ventilation program.
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References
ČSN EN ISO 60812. Analysis techniques for system reliability - Procedure for failure mode and effects analysis (FMEA), Praha, Czech Office for Standards, Metrology and Testing (2007).
Derosier, J., Stalhandske, E., Bagian, J. P., Nudell, T.: Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety’s prospective risk analysis system. The Joint Commission journal on quality improvement. Vol. 28, 248–267 (2002).
ČSN EN 61025. Fault Tree Analysis (FTA). Praha, Czech Office for Standards, Metrology and Testing (2007).
Škrla, P., Škrlová, M.: Řízení rizik ve zdravotnických zařízeních. Grada Publishing, ISBN 978-80-247-2616-5, (2008).
Faiella, G., Clemente, F., Rutoli, G., Romano, M., Bifulco, P., Cesarelli, M.: FMECA and HFMEA of indoor air quality management in home mechanical ventilation. In: IEEE MeMeA - IEEE International Symposium on Medical Measurements and Applications, Proceedings, (2014).
Shaqdan, K., Aran, S., Besheli, L. D., Abujudeh, H.: Root-Cause Analysis and Health Failure Mode and Effect Analysis: Two Leading Techniques in Health Care Quality Assessment. Journal of the American College of Radiology 11 572–579, (2014).
Gershon, R. R. M., Pogorzelska, M., Qureshi, K. A., Stone, P. W,, Canton, A. N., Samar, S. M., Westra, L. J., Damsky, M. R., Sherman., M.: Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (2017).
Simonds, A K. Risk management of the home ventilator dependent patient. Thorax 61, 369–371 (2006).
Hyman, W. A., Johnson, E.: Fault Tree Analysis of Clinical Alarms, [online]. http://thehtf.org/documents/FTA_of_Clinical_Alarms-Hyman_and_Johnson.pdf (2017).
Janssens, J. P., Penalosa, B., Degive, C., Rabeus, M., Rochat, T.: Quality of life of patients under home mechanical ventilation for restrictive lung diseases: a comparative evaluation with COPD patients. Monaldi archives for chest disease 51, 178–184 (1996).
van Kesteren, R. G., Velthuis, B., van Leyden, L. W.: Psychosocial problems arising from home ventilation. American journal of physical medicine & rehabilitation 80, 439–446 (2001).
Kampelmacher, M. J., Gaytant, M. A., Westermann, E. J. A.: Home mechanical ventilation in patients with neuromuscular diseases [online]. http://www.isno.nl/Neuromuscular_Info/Treatment/Treatment/Items/Home_mechanical_ventilation_in_patients_with_neuromuscular_diseases/Default.aspx (2010).
Chlouba, M.: Diploma Thesis Design model for risk assessment for homecare ventilation (supervisor: Kubátová, I.), Faculty of Biomedical Engineering, Czech Technical University in Prague (2017).
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Kubátová, I., Chlouba, M., Gajdoš, O. (2019). Design Model for Risk Assessment for Home-Care Lung Ventilation. In: Lhotska, L., Sukupova, L., Lacković, I., Ibbott, G. (eds) World Congress on Medical Physics and Biomedical Engineering 2018. IFMBE Proceedings, vol 68/3. Springer, Singapore. https://doi.org/10.1007/978-981-10-9023-3_71
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