Failure mode and effect analysis in the indwelling urinary catheterization process
DOI:
https://doi.org/10.1590/1518-8345.7589.4796Keywords:
Patient Safety; Risk Management; Health Care Quality; Healthcare Failure Mode and Effect Analysis; Nursing Care; Urinary CathetersAbstract
Objective: to analyze potential risks in the adult indwelling urinary catheterization process. Method: exploratory, descriptive and evaluative research in a teaching hospital. Working group with ten health care providers: eight nurses, one physician and one nursing technician. Activity flowchart and description built through process modeling. Potential risk analysis based on the Failure Mode and Effect Analysis method. Results: four sub-processes identified for the indwelling urinary catheterization process. Process review-based proactive health care risk analysis showed 55 potential failure modes, 92 potential failure causes, and 40 potential failure effects. Conclusion: the method applied to review the indwelling urinary catheterization process in the hospital setting supported the proactive health care risk analysis; this issue should be further considered to contribute to the safety culture at the national level. Nurses are strategic in decision-making on health care risk management in said process, throughout catheter introduction, continuous use, and removal.
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