Operation rooms (ORs) are characterized with high risks healthcare settings in which errors that can be avoided such as wrong-site surgeries as well as medication errors continue to occur even amid this safety procedures that are put in place. The presented study adopts a hybrid approach that combines the Failure Mode and Effects Analysis (FMEA) method with the Fault tree analysis (FTA) method to systematically analyze 120 surgical procedures to find out instrument-delays (24.2 percent) and medication-mislabeling (17.5 percent) as the most common surgical errors with Risk Priority Numbers (RPNs) of 192 and 189 respectively. Interventions aimed at the source of the errors were piloted in 30 cases, leading to the decrease in errors by 37.5 percent, RPNs by 24.1 percent, and an increase in checklists compliance by 25 percent. These results promote the idea that this two-pronged framework should be adopted by the institution, and instill psychological security and accountability in employees.
Akhilesh Obalannavar (Sun,) studied this question.