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Implementation of Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effort to Improve Patient Safety in Hemodialysis Services in Indonesia Aulia, Ariadne; Dewi, Arlina; Rosa, Elsye Maria
Majalah Kedokteran Bandung Vol 57, No 4 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3895

Abstract

Hemodialysis patients are at risk of preventable adverse outcomes as a result of the ongoing medical treatments required throughout their life. Minimizing risk is crucial for ensuring patient safety in healthcare environments. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive risk assessment method designed to identify potential failures in healthcare processes and improve the quality and safety of patient care. This qualitative descriptive study aimed to identify potential failure modes in hemodialysis services in Nitipuran Hemodialysis Clinic by implementing HFMEA. A multidisciplinary team was involved as the unit of analysis to identify processes and subprocesses for in-center hemodialysis treatment. The study employed purposive sampling, selecting 10 team members who were directly involved in providing hemodialysis services. Data collected were analyzed using the HFMEA worksheet. OverĀ five weeks, the team convened six times to identify Failure Modes (FMs) and Failure Mode Causes (FMCs), conduct a Hazard Analysis, and determine necessary actions to address the FMCs. Five processes, 23 subprocesses, 74 Failure Modes (FMs), 39 Failure Mode Causes (FMCs) were identified. Based on the Hazard Analysis results, 27 FMCs required corrective actions and thirteen actions were proposed to address the FMCs and improve patient safety based on the findings of this study. Further research is needed to evaluate the effectiveness of the implementation of these corrective actions in improving patient safety.
Co-Authors A.A. Ketut Agung Cahyawan W Agus Aan Adriansyah Agus Tri Widiyantara Agus Tri Widiyantara, Agus Tri Agustiani, Sirli Amirul Mustofa ANNISA FIRDAUSI Arini, Merita Aris Suparman Wijaya Aris Suparman Wijaya, Aris Suparman Asmi, Sarah Ayu Budi Asri Bashir Astuti, Yurni Dwi Aulia, Ariadne Ayu, Yennyka Dwi azizah khoiriyati Basha, Muzaitul Akma Binti Mustapa Kamal Bekti, Nikma Kurnianingtyas Bekti, Nikma Kurnianingtyas Cahyani, Faridha Cherol Nelson Ering Cita Rosita Sigit Prakoeswa Della Mawros Dwita Della Mawros Dwita, Della Mawros Dewi, Trisna Setya Dharmayuda, Cokorda Gde Oka Dianita Sugiyo, Dianita Dwi Ambarwati, Dwi Dwi Nur Anggraeni Ekorini Listiowati, Ekorini Elsye Maria Rosa Endang Sulistyawati Erni Rahmawati Fananie, Yasser Ahmad Fidela Firwan Firdaus Fidela Firwan Firdaus, Fidela Firwan Fradita Eka Sukardi Fradita Eka Sukardi, Fradita Eka Gofur Ahmad Harigustian, Yayang Idris, Desi Natalia Trijayanti Ietje Nazaruddin Indah Purnamasari Kusuma Dewi, Dyah Tri Kusumo, Mahendro Prasetyo Lellee, Ralph. J. Mariska Urhmila, Mariska Merita Arini Minanton Murnani, Sari Nanik Sri Khodriyati Novita Kurnia Sari Novita Kurnia Sari Nugroho, Irfan Helmi Nur Hidayah Prakoso, Denny Anggoro R. Sapto Hendri Boedi Soesatyo Rudy Dwi Laksono Saputra, Rahmana Febri Sekarsiwi, Anggraini Respati Setyonugroho, Winny Sri Sumaryani Suhendar Sulaeman Sumardi Sumardi Supriyatiningsih, Supriyatiningsih Supriyatiningsih, Supriyatiningsih Suryanto, Farid Susanto Susanto Tendean, Angelia Friska Titih Huriah Veronica Retno Setyaningsih Warih Andan Puspitosari, Warih Andan Widyatmoko, Danar Wijaya, Adi Indra Wirasto, Anggit Yaqub, Amak M. Yurni Dwi Astuti