Year 2025 / Volume 117 / Number 11
Original
Optimization of a colorectal cancer screening program through the implementation of a failure modes and effects analysis (FMEA)

630-635

DOI: 10.17235/reed.2025.10646/2024

María Martínez Burgos, Javier Villena-Salinas, Senador Morán Sánchez, José Antonio Martínez Otón,

Abstract
Introduction: colorectal cancer (CRC) screening is a strategy aimed at the early detection and treatment of this condition. Inviting asymptomatic individuals to participate in the program offers potential health benefits but also exposes them to possible complications associated with the process. Material and methods: a single-center, descriptive risk management study was performed using the failure modes and effects analysis (FMEA) methodology. In the first phase, failure modes were identified through brainstorming sessions involving all relevant personnel. These were then categorized based on their risk priority number (RPN), and a risk matrix was used to prioritize corrective and preventive measures for high-risk errors. Finally, interventions targeting the identified failure modes were implemented, and their impact was monitored at six months. Results: a total of 12 failure modes were identified, four of which were classified as high-risk (RPN > 15). The proposed interventions were applied to mitigate these failure modes, resulting in a significant reduction in RPN scores. Conclusion: the application of the FMEA methodology enabled the identification of high-risk errors in the CRC screening process and the implementation of measures to mitigate them, leading to improvements in the safety and quality of the program.
Lay Summary
The survival benefit offered by population-based colorectal cancer (CRC) screening justifies campaigns to encourage participation among asymptomatic individuals. However, contact with the healthcare system entails certain risks due to the potential for adverse events. According to the World Health Organization (WHO), the quality of healthcare is defined as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. There are tools available to measure the potential risk of errors or adverse events in a given process (in this case, CRC screening). One such tool is Failure Modes and Effects Analysis (FMEA). In this study, this methodology was applied to our screening program and the outcomes analyzed.
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Martínez Burgos M, Villena-Salinas J, Morán Sánchez S, Martínez Otón J. Optimization of a colorectal cancer screening program through the implementation of a failure modes and effects analysis (FMEA). 10646/2024


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Publication history

Received: 10/07/2024

Accepted: 30/05/2025

Online First: 27/06/2025

Published: 11/11/2025

Article revision time: 312 days

Article Online First time: 352 days

Article editing time: 489 days


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