Abstract
Healthcare Failure mode and effects analysis (HFMEA) is a proactive risk analysis methodology and widely employ in healthcare field. On the other hand, Value Stream Mapping (VSM) is one of the process efficiency improvement approaches in Lean Six Sigma (LSS). The purpose of this study is developed a framework to conduct the integrated HFMEA and VSM methodologies into hospitals. This integrated approach attempts to increase the satisfaction of patents and the efficiency of healthcare institutions simultaneously. The crossfunction team uses some tools to identify, evaluate and priority the potential failures. Additionally, the value stream map will analyze the process flow and calculate the process cycle efficiency (PCE) and process cycle efficiency destruction (PCED) for determining the improvement priority. Finally, the integrated approach will decide the overall priority of the process. The implementation of the proposed approach was carried out in a hospital in Taipei and the results illustrated the practicability of the proposed approach. In short- term, the number of harmful events is toward to decrease certainly. Moreover, through the concept of lean manufacturing, the PCE of process increases from 4.05% to 7.62%. The improved results illustrated the effectiveness of the proposed approach and the participants felt this improvement is helpful to handle their daily work.