Failure Modes and Effects Analysis of bilateral same-day cataract surgery.

ABSTRACT:

Purpose

To systematically analyze potential process failures related to bilateral same-day cataract surgery toward the goal of improving patient safety.

Setting

Twenty-one Kaiser Permanente surgery centers, Northern California, USA.

Design

Retrospective cohort study.

Methods

Quality experts performed a Failure Modes and Effects Analysis (FMEA) that included an evaluation of sterile processing, pharmaceuticals, perioperative clinic and surgical center visits, and biometry. Potential failures in human factors and communication (modes) were identified. Rates of endophthalmitis, toxic anterior segment syndrome (TASS), and unintended intraocular lens (IOL) implantation were assessed in eyes having bilateral same-day surgery from 2010 through 2014.

Results

The

SUBMITTER: Shorstein NH 

PROVIDER: S-EPMC5419427 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature