FMEA team performance in health care: A qualitative analysis of team member perceptions.

OBJECTIVE: : Failure mode and effects analysis (FMEA) is a commonly used prospective risk assessment approach in health care. Failure mode and effects analyses are time consuming and resource intensive, and team performance is crucial for FMEA success. We evaluate FMEA team members' perceptions of FMEA team performance to provide recommendations to improve the FMEA process in health care organizations.METHODS: : Structured interviews and survey questionnaires were administered to team members of 2 FMEA teams at a Midwest Hospital to evaluate team member perceptions of FMEA team performance and factors influencing team performance. Interview transcripts underwent content analysis, and descriptive statistics were performed on questionnaire results to identify and quantify FMEA team performance. Theme-based nodes were categorized using the input-process-outcome model for team performance.RESULTS: : Twenty-eight interviews and questionnaires were completed by 24 team members. Four persons participated on both teams. There were significant differences between the 2 teams regarding perceptions of team functioning and overall team effectiveness that are explained by difference in team inputs and process (e.g., leadership/facilitation, team objectives, attendance of process owners).CONCLUSIONS: : Evaluation of team members' perceptions of team functioning produced useful insights that can be used to model future team functioning. Guidelines for FMEA team success are provided.

目的：故障模式与影响分析（FMEA）是医疗保健中常用的前瞻性风险评估方法。故障模式与影响分析耗时且耗费资源，团队表现对FMEA的成功至关重要。我们评估FMEA团队成员对FMEA团队表现的看法，以便为改善医疗保健机构中的FMEA流程提供建议。 方法：对中西部一家医院的2个FMEA团队的成员进行结构化访谈和问卷调查，以评估团队成员对FMEA团队表现以及影响团队表现的因素的看法。对访谈记录进行内容分析，并对问卷结果进行描述性统计，以识别和量化FMEA团队表现。基于主题的节点使用团队表现的输入 - 过程 - 结果模型进行分类。 结果：24名团队成员完成了28次访谈和问卷调查。有4人参与了两个团队。两个团队在对团队运作的看法以及整体团队有效性方面存在显著差异，这可由团队输入和过程（例如，领导/引导、团队目标、流程所有者的出席情况）的差异来解释。 结论：对团队成员关于团队运作的看法进行评估产生了有用的见解，可用于为未来团队运作建模。提供了FMEA团队成功的指南。