Failure Mode Effects Analysis
PATIENT SAFETY PRIMERS
Device-related Complications (5)
Diagnostic Errors (2)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (7)
Medication Safety (23)
Medical Complications (1)
Nonsurgical Procedural Complications (1)
Surgical Complications (6)
Psychological and Social Complications (1)
North America (35)
Journal Article (44)
Newspaper/Magazine Article (2)
Press Release/Announcement (2)
Special or Theme Issue (2)
Web Resource (1)
Epidemiology of Errors and Adverse Events (8)
Active Errors (11)
Latent Errors (6)
Near Miss (1)
Approach to Improving Safety
Failure Mode Effects Analysis
Health Care Providers (38)
Health Care Executives and Administrators (44)
Non-Health Care Professionals (15)
Setting of Care
Ambulatory Care (3)
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Failure mode and effects analysis application to critical care medicine.
Duwe B, Fuchs BD, Hansen-Flaschen J. Crit Care Clin. 2005;21:21-30, vii.
Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care
Rich V. AHRQ WebM&M [serial online]. August 2009.
Don't underestimate the impact of change on risk potential.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
Random safety auditing, root cause analysis, failure mode and effects analysis.
Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.
Assessing system failures in operating rooms and intensive care units.
van Beuzekom M, Akerboom SP, Boer F. Qual Saf Health Care. 2007;16:45-50.
Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Sheridan-Leos N, Schulmeister L, Hartranft S. Clin J Oncol Nurs. 2006;10:393-398.
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.
Making FMEA work for you.
Reams J. Nurs Manage. 2011;42:18-20.
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Kullberg A, Larsen J, Sharp L. Eur J Oncol Nurs. 2013;17:228-235.
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.
Best-practice protocols: Preventing adverse drug events.
Weir VL. Nurs Manage. 2005;36:24-30.
Use of failure mode and effects analysis in improving the safety of i.v. drug administration.
Adachi W, Lodolce AE. Am J Health Syst Pharm. 2005;62:917-920.
Looking Collectively at Risk.
Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.
SPECIAL OR THEME ISSUE
Safety in critical care medicine.
Fein AM, Heffner JE, eds. Crit Care Clin. January 2005;21(theme issue):1-175.
Improving communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.
Examining nurses' decision process for medication management in home care.
Kovner C, Menezes J, Goldberg JD. Jt Comm J Qual Patient Saf. 2005;31:379-385.
Identifying vulnerabilities in communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.
Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.
Steelman VM, Cullen JJ. AORN J. 2011;94:132-141.
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