Maßnahmen zur Fehlervermeidung am Beispiel einer Schraubenosteosynthese

Zusammenfassung

Es werden die wichtigsten Maßnahmen zur Fehlervermeidung beschrieben und dabei die Failure Modes and Effects Analysis (FMEA) an einem Beispiel der Schraubenosteosysnthese dargestellt. Die Berechnung des Complexity Factor und seine Anwendung zur Fehlerverringerung wird dargelegt. Poka Yokei und die Anwendung von „Simple Rules” zur Beeinflussung von Situationen dynamischer Komplexität werden beschrieben.

Abstract

The most important organizational strategies for mistake proofing are described and a failure modes and effects analysis on the example of a screw-osteosynthesis is shown. Complexity factors are computed and their use in order to decrease failure rates is demonstrated. The use of Poka Yokei and “simple rules” in situations of dynamic complexity are described.

Schlüsselwörter

Poka Yokei - Komplexität - Fehlervermeidung - FMEA - Osteosynthese

Key words

Poka Yokei - complexity - mistake proofing - FMEA - Osteosynthesis

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