Avaliação dos Modos de Falha do Planejamento Computadorizado em Implantes Intersticiais com Braquiterapia de Alta Taxa de Dose Usando HFMEA
DOI:
https://doi.org/10.29384/rbfm.2014.v8.n2.p18-21Abstract
Esse trabalho avalia os modos de falha da fase de planejamento computadorizado em implantes intersticiais com braquiterapia de alta taxa de dose. Foi utilizada a ferramenta de gerenciamento de risco prospectiva Análise de Modo de Falha e Efeito na Saúde (Health Care Failure Mode and Effects Analysis – HFMEA). Foram identificados 12 subprocessos dessa fase e 33 modos de falha, dos quais 21 justificavam novas ações de segurança, sendo 9 riscos intoleráveis. O método mostrou-se útil na identificação dos modos de falha, mas trabalhoso e subjetivo em sua avaliação. Os principais riscos apresentados foram devidos a fatores humanos, o que requer treinamento dos profissionais e empenho da gestão para mitigá-los.
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