Risk assessment of component failure modes and human errors using a new FMECA approach: application in the safety analysis of HDR brachytherapy

J Radiol Prot. 2014 Dec;34(4):891-914. doi: 10.1088/0952-4746/34/4/891. Epub 2014 Nov 7.

Abstract

Failure mode, effects and criticality analysis (FMECA) is a safety technique extensively used in many different industrial fields to identify and prevent potential failures. In the application of traditional FMECA, the risk priority number (RPN) is determined to rank the failure modes; however, the method has been criticised for having several weaknesses. Moreover, it is unable to adequately deal with human errors or negligence. In this paper, a new versatile fuzzy rule-based assessment model is proposed to evaluate the RPN index to rank both component failure and human error. The proposed methodology is applied to potential radiological over-exposure of patients during high-dose-rate brachytherapy treatments. The critical analysis of the results can provide recommendations and suggestions regarding safety provisions for the equipment and procedures required to reduce the occurrence of accidental events.

MeSH terms

  • Brachytherapy / adverse effects
  • Brachytherapy / instrumentation*
  • Brachytherapy / mortality*
  • Computer Simulation
  • Equipment Failure / statistics & numerical data*
  • Equipment Failure Analysis / methods
  • Fuzzy Logic
  • Humans
  • Incidence
  • Medical Errors / prevention & control
  • Medical Errors / statistics & numerical data*
  • Models, Statistical
  • Patient Safety
  • Radiation Injuries / etiology
  • Radiation Injuries / mortality*
  • Radiation Injuries / prevention & control*
  • Radiation Protection
  • Radioactive Hazard Release / mortality*
  • Radioactive Hazard Release / prevention & control
  • Risk Assessment / methods
  • Safety Management / methods
  • Survival Rate