Design model for risk assessment for home-care lung ventilation

Abstract

Introduction: The study consists of two objectives. The first objective is to assess the risks associated with the whole process of treatment using home-care lung ventilation (HLV). The main source for describing such risks were foreign studies. The other objective is to compare risk assessment methods based on the current situation in the Czech Republic and in the world. Methods: The selected methods—Failure Mode and Effects Analysis (FMEA), Health Failure Mode and Effects Analysis (HFMEA), Fault Tree Analysis (FTA) and Root Cause Analysis (RCA)—were compared using comparative analysis, and subsequently examined, in the specific area of home-care lung ventilation. Results: The final objective is to design a model for risk assessment in the field of home mechanical ventilation based on the existing knowledge. This model includes both a prospective and a retrospective analysis. Their appropriateness of use is documented in this paper; according to their specificities they are used in a variety of areas. Discussion: Implementation of risk analyses in this area can contribute to increasing the safety and quality of provided care, and at the same time help attract more support to the home-care lung ventilation program.