title: Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
abstract: The authors describe HFMEA, a five-step process used to proactively evaluate a health care process, and provide examples of a team's forms and actions regarding prostate-specific antigen testing.
authors.affiliation: Department of Veterans Affairs, VA National Center for Patient Safety (10X), 24 Frank Lloyd Wright Drive, Lobby M, PO Box 486, Ann Arbor, MI 48106-0486, USA. Joseph.DeRosier@med.va.gov
authors.forename: Joseph
authors.initials: J
authors.lastname: DeRosier
authors.forename: Erik
authors.initials: E
authors.lastname: Stalhandske
authors.forename: James P
authors.initials: JP
authors.lastname: Bagian
authors.forename: Tina
authors.initials: T
authors.lastname: Nudell
mesh_terms: D000465:Algorithms; D015984:Causality; D003627:Data Interpretation, Statistical; D003663:Decision Trees; D019544:Equipment Failure Analysis; D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D007324:Institutional Management Teams; D019300:Medical Errors / Q000145:classification / Q000517:prevention & control*; D017064:Process Assessment, Health Care / Q000379:methods*; D016730:Program Development; D018570:Risk Assessment / Q000379:methods*; D012308:Risk Management / Q000379:methods; D017751:Safety Management / Q000379:methods*; D013597:Systems Analysis; D014481:United States