title: Utility of Failure Mode and Effect Analysis to Improve Safety in Suctioning by Orotracheal Tube.
abstract: OBJECTIVE
  The objective of the study was to use the Failure Mode and Effect Analysis (FMEA) tool to analyze the technique of secretion suctioning on patients with an endotracheal tube who were admitted into an intensive care unit.
  
  
  METHODS
  Brainstorming was carried out within the service to determine the potential errors most frequent in the process. After this, the FMEA was applied, including its stages, prioritizing risk in accordance with the risk prioritization number (RPN), selecting improvement actions in which they have an RPN of more than 300.
  
  
  RESULTS
  We obtained 32 failure modes, of which 13 surpassed an RPN of 300. After our result, 21 improvement actions were proposed for those failure modes with RPN scores above 300.
  
  
  CONCLUSIONS
  FMEA allows us to ascertain possible failures so as to later propose improvement actions for those which have an RPN of more than 300.
authors.forename: Agustín
authors.initials: A
authors.lastname: Vázquez-Valencia
authors.forename: Andrés
authors.initials: A
authors.lastname: Santiago-Sáez
authors.forename: Bernardo
authors.initials: B
authors.lastname: Perea-Pérez
authors.forename: Elena
authors.initials: E
authors.lastname: Labajo-González
authors.forename: Maria Elena
authors.initials: ME
authors.lastname: Albarrán-Juan
mesh_terms: D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000592:standards*; D061214:Patient Safety; D018570:Risk Assessment; D013396:Suction
keywords: ETT; FMEA; RPN; improvement actions; orotracheal suctioning; patient safety