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作者

Li, Ranran Li, Jiahui Song, Lina Yuan, Fang

作者单位

^bDepartment of Anesthesia Surgery, The Fifth People’s Hospital of Jinan, Shandong Province, Jinan, 250022, China ^aDepartment of Thoracic Radiation Oncology Ward 5, Affiliated Cancer Hospital of Shandong First Medical University, No. 440, Jiyan RoadShandong Province, Jinan, 250117, China ^cOrthopedic Three Wards, the Fifth People’s Hospital of Jinan, Jinan, 250022, China

刊名

Risk Management and Healthcare Policy

年份

2026

卷号

Vol.19

ISSN

1179-1594

关键词

day-time wards healthcare failure mode and effect analysis HFMEA management tumor

摘要

Objective: To explore the application of Healthcare Failure Mode and Effect Analysis in optimizing the operational workflow of oncology day wards. Methods: A retrospective controlled study was conducted with 658 patients treated in our day ward from August 2021 to March 2022. The control group received standard care, while the experimental group underwent HFMEA-based process redesign. Key interventions included establishing a multidisciplinary team, developing a patient admission assessment t...更多

Objective: To explore the application of Healthcare Failure Mode and Effect Analysis in optimizing the operational workflow of oncology day wards. Methods: A retrospective controlled study was conducted with 658 patients treated in our day ward from August 2021 to March 2022. The control group received standard care, while the experimental group underwent HFMEA-based process redesign. Key interventions included establishing a multidisciplinary team, developing a patient admission assessment tool, optimizing infusion chair allocation, creating a WeChat-based communication platform, and implementing electronic health education. Risk Priority Numbers were calculated using a severity-occurrence matrix. Primary outcomes included RPN reduction rates, treatment waiting times, and patient satisfaction scores. Results: Compared with the control group, the experimental group showed significant improvements in several key metrics. The RPN improvement rates for the treatment, evaluation, and treatment processes were 48.01%, 52.94%, and 61.59%, respectively. The experimental group also demonstrated higher satisfaction scores from 3 to 4 points in waiting time, infusion process, health education, service attitude aspects. Additionally, the median waiting time decreased from 16 minutes to 7 minutes . Conclusion: The optimized day ward operation process based on HFMEA has demonstrated significant benefits in reducing medical risks, shortening patient treatment waiting time, and improving patient satisfaction. These improvements are particularly relevant for healthcare institutions facing similar challenges.收起

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