Design And Validation Of A Risk Map For Improving Safety Patient In Emergency Departments

Objective: To design and validate an emergency care risk map (RM) which can be used in all the Spanish emergency departments (ED).Material and methods: To design a RM using the Failures Modes and Effects Analysis method (FMEA). The study has four phases: Design, consensus (using Delphi technique), validation and final design.Results: The final RM collected, after validation, a total of 13 processes, 118 subprocesses, 271 possible failures and 1,368 risks. Based on median scores risk odds ratio (IPR), we obtained two smaller versions: Recommended MR, with the risks above the overall median for each process, consists of 13 processes, 108 subprocesses, 217 possible failures and 748 risks; and Essential RM (with the risk > 280 points IPR), consisting of a total of 10 processes, 54 subprocesses, 79 and 180 potential risks.Conclusion: The RM obtained is a proactive, homogeneous and validated tool, which analyzes all the emergency cares processes, and which allows risk management in every ED.