Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation

Dina M. Steinberger, Stephen V. Douglas, Mark S. Kirschbaum

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

A multidisciplinary team from the University of Wisconsin Hospital and Clinics transplant program used failure mode and effects analysis to proactively examine opportunities for communication and handoff failures across the continuum of care from organ procurement to transplantation. The team performed a modified failure mode and effects analysis that isolated the multiple linked, serial, and complex information exchanges occurring during the transplantation of one solid organ. Failure mode and effects analysis proved effective for engaging a diverse group of persons who had an investment in the outcome in analysis and discussion of opportunities to improve the system's resilience for avoiding errors during a time-pressured and complex process.

Original languageEnglish (US)
Pages (from-to)208-214
Number of pages7
JournalProgress in Transplantation
Volume19
Issue number3
DOIs
StatePublished - Sep 1 2009

ASJC Scopus subject areas

  • Transplantation

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