Risk assessment in hematology ward renovation, a FMEA example in a tertiary hospital in Italy

• DOI: 10.1093/eurpub/ckaa166.724
• Publication Date: 2020-10-08T18:07:10Z
• Authors: A Battaglini; A Orsi; G Icardi; S Vyshka; F Casabona; G Orengo
• Keywords: Mistake; Hematology

Abstract Background Hospital construction and renovation works cause derangement, increasing mistake rate in healthcare workers resulting dust contamination dispersal of fungal spores that could improve morbidity mortality severely immune suppressed patients. The necessary hematology ward at IRCCS Policlinico San Martino Genoa, scheduled for February 2020 required a risk assessment to avoid logistical, organizational clinical problems. Two possible scenarios were proposed: (1) displacement patients another building previously used as hematological unit or (2) department split 2 sections carry out different periods. Risk management the choice relies on failure mode effects analysis (FMEA) method, proactive tool based priority number (RPN) ranks modes terms occurrence, severity detection. Aim this work is analyze compare two scenarios; team experts Public health with specific skills hospital governance FMEA single compute RPN. Methods Thirteen combined together four major risks: (a) lengthening waiting times delay haematopoietic stem cell transplant procedures, (b) exposure airborne contamination, (c) cross water (d) wrong behaviors. RPN was computed each mode. Results Relevant were: reduction bedsides both (7 lost first scenario RPN1 540 vs 9 second RPN2 630), less air exchange/hour (4/h 500 6/h 400) balanced by closeness site scenario(RPN2 500). First total 2430, 3250. Conclusions Using FMEA, we assessed risks profile scenarios. Although some residual persisted, shows lower all risks. Key messages key element better understand problems environmental setting represents useful guide manager difficult choices concerning