Gesundheitsökonomie & Qualitätsmanagement 2007; 12(3): 185-188
DOI: 10.1055/s-2006-927114
Originalarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Maßnahmen zur Fehlervermeidung am Beispiel einer Schraubenosteosynthese

Mistake Proofing in Open Reduction and Internal Fixation with ScrewsM. F. Fischmeister1
  • 1Unfallkrankenhaus der Allgemeinen Unfallversicherungsanstalt Linz
Further Information

Publication History

Publication Date:
11 June 2007 (online)

Zusammenfassung

Es werden die wichtigsten Maßnahmen zur Fehlervermeidung beschrieben und dabei die Failure Modes and Effects Analysis (FMEA) an einem Beispiel der Schraubenosteosysnthese dargestellt. Die Berechnung des Complexity Factor und seine Anwendung zur Fehlerverringerung wird dargelegt. Poka Yokei und die Anwendung von „Simple Rules” zur Beeinflussung von Situationen dynamischer Komplexität werden beschrieben.

Abstract

The most important organizational strategies for mistake proofing are described and a failure modes and effects analysis on the example of a screw-osteosynthesis is shown. Complexity factors are computed and their use in order to decrease failure rates is demonstrated. The use of Poka Yokei and “simple rules” in situations of dynamic complexity are described.

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Dr. Martin Franz Fischmeister

Ferihumerstraße 11

4040 Linz/Urfahr; Austria

Email: martin@fischmeister.info

URL: http://www.fischmeister.info