ABSTRACT
OBJECTIVES: to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units. METHODS: this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources. RESULTS: search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results. FINAL CONSIDERATIONS: the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
Subject(s)
Pediatrics , Root Cause Analysis , Child , Humans , PublicationsABSTRACT
ABSTRACT Objectives: to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units. Methods: this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources. Results: search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results. Final Considerations: the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
RESUMEN Objetivos: analizar la aplicabilidad de las herramientas Análisis de Causa Raiz y Análisis de Fallas Modales y Efectos, con el objetivo de mejorar la atención en las unidades pediátricas. Métodos: revisión de alcance, realizada de acuerdo con las directrices del Instituto Joanna Briggs, siguiendo la lista de verificación de los Ítems Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. La búsqueda se realizó en mayo de 2018 en 15 fuentes de datos. Resultados: la búsqueda totalizó 8.254 estudios. Después de utilizar los criterios de inclusión y exclusión relevantes, se incluyeron 15 artículos en la revisión. De estos, nueve fueron publicados entre 2013 y 2018, 12 utilizaron; Análisis de Fallas Modales y Efectos y 11 realizaron intervenciones para mejorar la calidad de los procesos abordados, mostrando buenos resultados post-intervención. Consideraciones Finales: la aplicación de las herramientas indicó cambios y mejoras significativas en los servicios que las implementaron, resultando satisfactorias para detectar oportunidades de mejora, empleando metodologías específicas para la reducción de daños en pediatría.
RESUMO Objetivos: analisar a aplicabilidade das ferramentas Análise de Causa Raiz e Análise Modal de Falhas e Efeitos, visando à melhoria da assistência em unidades pediátricas. Métodos: scoping review, realizada conforme orientações do Instituto Joanna Briggs, seguindo o checklist do Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A busca ocorreu em maio de 2018 em 15 fontes de dados. Resultados: busca totalizou 8.254 estudos. Após a utilização dos critérios de inclusão e exclusão pertinentes, incluíram-se 15 artigos na revisão. Desses, nove foram publicados entre 2013 e 2018, 12 utilizaram Análise Modal de Falhas e Efeitos e 11 realizaram intervenções para melhoria da qualidade nos processos abordados, mostrando bons resultados pós-intervenções. Considerações Finais: a aplicação das ferramentas indicou mudanças e melhorias significativas nos serviços que as implementaram, mostrando-se satisfatórias para detectar oportunidades de melhorias, empregando metodologias específicas para a redução de danos em pediatria.