Impact Analysis of Facility Failures on Healthcare Delivery Process: Use Case–Driven Approach
Publication: Journal of Performance of Constructed Facilities
Volume 30, Issue 4
Abstract
The healthcare industry is growing in complexity, and providing a safe healthcare setting increases the challenges for many healthcare facility managers. Most facility information is not linked to the healthcare delivery process, making it difficult to identify interactions and overlaps that may have critical implications for the smooth operation of the healthcare delivery process and patient safety. This paper focused on an impact analysis of facility failures on the healthcare delivery process and involved a combination of research methods including a case study, interviews with key healthcare practitioners as part of a case study in a major hospital, and cognitive walk-throughs with domain experts. The interactions of facility information with the healthcare delivery process helped to identify critical facility failures through planned and unplanned safety events. Use cases, use-case diagrams, scenario interaction diagrams, and failure mode and effects analysis (FMEA) were developed to learn and assess the functionality of the healthcare system communication related to the planned and unplanned events, and a number of factors associated with the facility failures were recognized.
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Acknowledgments
This work was sponsored by the Agency for Healthcare Research and Quality (AHRQ) under Grant R03 HS19074-01. All findings, conclusions, and opinions are those of the authors and do not necessarily reflect the opinion of the sponsor. This paper is an extension of work originally submitted and presented in Proceedings of Construction Research Congress 2012: Construction Challenges in a Flat World, held in West Lafayette, Indiana, May 21–23, 2012.
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Information & Authors
Information
Published In
Journal of Performance of Constructed Facilities
Volume 30 • Issue 4 • August 2016
Copyright
© 2015 American Society of Civil Engineers.
History
Received: Apr 17, 2015
Accepted: Sep 30, 2015
Published online: Dec 18, 2015
Discussion open until: May 18, 2016
Published in print: Aug 1, 2016
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