The purpose of the research was to develop an algorithm to permanently reduce human errors in the healthcare industry. The algorithm will be able to be applied to all healthcare organizations and provide a preventative approach to errors. The research involved looking at past methods of error reduction/prevention. Certain methods proved to be useful in generating the algorithm like the Healthcare Failure Modes and Effects Analysis while others like Root Cause Analysis proved to only have limited success. The algorithm takes a three phase approach to reducing errors. Phase One identifies the potential error producing situations. Phase Two uses error proofing principles and known solution directions to generate solutions while Phase Three uses a new method developed called Solution Priority Number to rank and evaluate the solutions. Throughout the algorithm many worksheets have been developed to aid in a team?s progression through the process. Two case studies were performed. The first case study followed a traditional team through the error prevention process while the second case used the algorithm. When comparing the two cases the team using the algorithm finished the process in shorter time, produced more effective failure modes, and generated a richer set of solutions to error proof the process.
| Identifer | oai:union.ndltd.org:NCSU/oai:NCSU:etd-12012005-073356 |
| Date | 02 December 2005 |
| Creators | Seastrunk, Chad Stephen |
| Contributors | Dr. Jeff Thompson, Dr. Jeff Joines, Dr. Timothy Clapp |
| Publisher | NCSU |
| Source Sets | North Carolina State University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://www.lib.ncsu.edu/theses/available/etd-12012005-073356/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to NC State University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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