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2019, Number 2

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Revista Cubana de Salud y Trabajo 2019; 20 (2)

Basic causes of failures applied to risk analysis in ionizing radiation medicine practices

Amador BZ, Torres VA

Language: Spanish
References: 24
Page: 11-18
PDF size: 366.52 Kb.


ABSTRACT

The estate of the art of failure causes applied to incidents or nearmisses, in ionizing radiation medicine practices, shows parceled approaches and that does not cover all possible influencing areas in the events. The conformation of standardized list of failure causes for the risk analysis in these medical practices allows the adoption of measures for improvement in the quality and safety management system. Its application to the failure mode and effects analysis (FMEA) as a proactive method and also during using a reactive method inside an incident data base facilitates the importance determination of human errors, equipment failures, lack of safety culture, etc., whose present like causes, and the definition of the most effective action will be adopted by managers. In the other side, this application also allows the terminology standardization in the basic causes and the blending among the analysis methods. The basic causes by influencing area of international use, but enlarged and adapted to the reference medical practices, it is presented following the numerical codification used in adverse events and near-misses data bases. There is illustrated its using by experts in the risk analysis with the code SECURE-MR-FMEA 3.0.


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