Quality improvement in haemodialysis process using FMEA

Abstract

Purpose

The quality of haemodialysis process is a prime concern in renal care. This study, carried out at one of the leading Hospitals in Central India, providing kidney care and dialysis, aims to identify areas in the haemodialysis unit needing special attention, to improve process quality and ensure better patient welfare.

Design/methodology/approach

The failure mode and effects analysis (FMEA) approach included: deciding haemodialysis process requirements, identifying potential causes of process failure and quantifying associated risk with every cause. Suitable actions were then implemented to reduce the occurrence and improving the controls, thereby reducing risk. The study used primary data generated and monitored over the period: July‐December 2008.

Findings

Adopting proper checklists for work monitoring, providing training to enhance patient and staff awareness; led to reduced process errors, mitigating overall risks, eventually resulting in effective patient care.

Research limitations/implications

The quantification of risk associated with every likely failure is subjective.

Practical implications

The findings have a great significance in relation to kidney patients' welfare. The process areas which may get compromised are highlighted so that they get due attention. Error proofing makes the process “robust”, reducing its vulnerability.

Originality/value

This study provides a microscopic error proofing approach to haemodialysis process using a proven engineering tool, FMEA, ensuring quality improvement. This approach can also be extended to cover other hospital activities.

Citation

Ookalkar, A.D., Joshi, A.G. and Ookalkar, D.S. (2009), "Quality improvement in haemodialysis process using FMEA", International Journal of Quality & Reliability Management, Vol. 26 No. 8, pp. 817-830. https://doi.org/10.1108/02656710910984183