Root Cause Analysis of Patient Samples Rejected by Laboratories: 21-Step Application Example

Büşra Arslan; Dilek Şahin

Makale detayları

Root Cause Analysis of Patient Samples Rejected by Laboratories: 21-Step Application Example

Yazarlar:

Büşra Arslan | Dilek Şahin

Yayıncı:

Duzce University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sağlık Bilimlerinde Değer Vol.13 Issue 3, pp.359-367

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299045

pISSN:

2792-0542

Anahtar kelimeler:

Özet:

 Aim: Root cause analysis is widely used in healthcare services to analyze the causes of near misses and adverse events with a systematic approach. This study, it is aimed to determine the root causes of rejected samples, define correctivepreventive actions, and create an action plan that will help the implementation of the suggested remedial actions and evaluate their effectiveness. Material and Methods: For the 21-step methodology, observation, interview, document and record review techniques were applied. The steps of the process were visualized with the flowchart technique and the reasons for rejected samples were analyzed with team members. The identified causes were visualized with the Fishbone Diagram technique, and the risk reduction strategies and improvement actions for rejected samples were determined by the Failure Mode Effect Analysis FMEA method. The Action Hierarchy tool was used to evaluate the power of improvement actions. Results: The root causes of rejected samples were identified as inadequate orientation and training practices, lack of applicability of policies and procedures, lack of monitoring and evaluation, inefficient process flow and lack of equipment. A total of 11 improvement actions were determined and planned for these root causes. It was predicted that there will be an approximately 64.5 decrease in risk scores in general with the basic measures presented in the performed FMEA. Conclusion: Overall, it was found that the 21-step methodology is suitable for determining root causes by offering detailed guidance.

 Aim: Root cause analysis is widely used in healthcare services to analyze the causes of near misses and adverse events with a systematic approach. This study, it is aimed to determine the root causes of rejected samples, define correctivepreventive actions, and create an action plan that will help the implementation of the suggested remedial actions and evaluate their effectiveness. Material and Methods: For the 21-step methodology, observation, interview, document and record review techniques were applied. The steps of the process were visualized with the flowchart technique and the reasons for rejected samples were analyzed with team members. The identified causes were visualized with the Fishbone Diagram technique, and the risk reduction strategies and improvement actions for rejected samples were determined by the Failure Mode Effect Analysis FMEA method. The Action Hierarchy tool was used to evaluate the power of improvement actions. Results: The root causes of rejected samples were identified as inadequate orientation and training practices, lack of applicability of policies and procedures, lack of monitoring and evaluation, inefficient process flow and lack of equipment. A total of 11 improvement actions were determined and planned for these root causes. It was predicted that there will be an approximately 64.5 decrease in risk scores in general with the basic measures presented in the performed FMEA. Conclusion: Overall, it was found that the 21-step methodology is suitable for determining root causes by offering detailed guidance.

 Aim: Root cause analysis is widely used in healthcare services to analyze the causes of near misses and adverse events with a systematic approach. This study, it is aimed to determine the root causes of rejected samples, define correctivepreventive actions, and create an action plan that will help the implementation of the suggested remedial actions and evaluate their effectiveness. Material and Methods: For the 21-step methodology, observation, interview, document and record review techniques were applied. The steps of the process were visualized with the flowchart technique and the reasons for rejected samples were analyzed with team members. The identified causes were visualized with the Fishbone Diagram technique, and the risk reduction strategies and improvement actions for rejected samples were determined by the Failure Mode Effect Analysis FMEA method. The Action Hierarchy tool was used to evaluate the power of improvement actions. Results: The root causes of rejected samples were identified as inadequate orientation and training practices, lack of applicability of policies and procedures, lack of monitoring and evaluation, inefficient process flow and lack of equipment. A total of 11 improvement actions were determined and planned for these root causes. It was predicted that there will be an approximately 64.5 decrease in risk scores in general with the basic measures presented in the performed FMEA. Conclusion: Overall, it was found that the 21-step methodology is suitable for determining root causes by offering detailed guidance.

 Amaç: Kök neden analizi, sağlık hizmetlerinde ramak kala ve istenmeyen olayların nedenlerini, sistematik bir yaklaşımla analiz etmek için yaygın olarak kullanılmaktadır. Bu çalışmada, reddedilen numunelerin kök nedenlerinin belirlemesi, düzelticiönleyici eylemlerin tanımlaması ve önerilen iyileştirme eylemlerinin uygulanmasına ve etkililiğinin değerlendirilmesine yardımcı olacak bir eylem planının oluşturulması amaçlanmıştır. Gereç ve Yöntemler: 21 adım uygulaması yönteminde gözlem, görüşme, doküman ve kayıt inceleme teknikleri uygulanmıştır. Akış Şeması tekniği ile süreç adımları görselleştirilmiş ve reddedilen numunelerin nedenleri ekip üyeleri ile analiz edilmiştir. Tespit edilen nedenler, Balık Kılçığı Diyagramı tekniği ile görselleştirilmiş ve reddedilen numuneler için risk azaltma stratejileri ve iyileştirme eylemleri Hata Türleri ve Etkileri Analizi yöntemi ile belirlenmiştir. İyileştirme eylemlerinin gücünü değerlendirmek için Eylem Hiyerarşisi aracı kullanılmıştır. Bulgular: Reddedilen numunelerin kök nedenleri; oryantasyon ve eğitim uygulamaları yetersizliği, politika ve prosedürlerin uygulanabilirliği, izleme ve değerlendirme eksikliği, verimsiz süreç akışı ve ekipman eksikliği olarak belirlenmiştir. Bu kök nedenlere yönelik toplam 11 iyileştirme eylemi belirlenmiş ve planlanmıştır. Gerçekleştirilen Hata türleri ve Etkileri Analizinde sunulan temel önlemlerle genel olarak risk puanlarında yaklaşık 64,5lik azalış olacağı öngörülmüştür. Sonuç: Genel olarak 21 adım yönteminin ayrıntılı rehberlik sunarak kök nedenleri belirlemede uygun olduğu bulunmuştur.

Makale detayları

Root Cause Analysis of Patient Samples Rejected by Laboratories: 21-Step Application Example

Yazarlar:

Büşra Arslan | Dilek Şahin

Yayıncı:

Duzce University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sağlık Bilimlerinde Değer Vol.13 Issue 3, pp.359-367

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299045

pISSN:

2792-0542

Root cause analysis

rejected samples

21-step methodologykök neden analizi

reddedilen numuneler

21 adım yöntemi

Sayı

Makale detayları

Root Cause Analysis of Patient Samples Rejected by Laboratories: 21-Step Application Example

Yazarlar: Büşra Arslan | Dilek Şahin

Yayıncı: Duzce University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Sağlık Bilimlerinde Değer Vol.13 Issue 3, pp.359-367

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001299045

pISSN: 2792-0542

Root cause analysis

rejected samples

21-step methodologykök neden analizi

reddedilen numuneler

21 adım yöntemi

Sayı

Yazarlar:

Büşra Arslan | Dilek Şahin

Yayıncı:

Duzce University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sağlık Bilimlerinde Değer Vol.13 Issue 3, pp.359-367

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299045

pISSN:

2792-0542