AHRQ Patient Safety Network

The Collection > Failure Mode Effects Analysis

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Failure Mode Effects Analysis

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1 - 20 of 53

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REVIEW

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.

COMMENTARY

Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care

Rich V. AHRQ WebM&M [serial online]. August 2009.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

COMMENTARY

Random safety auditing, root cause analysis, failure mode and effects analysis.

Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.

STUDY

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.

STUDY

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.

COMMENTARY

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.

COMMENTARY

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.

COMMENTARY

Making FMEA work for you.

Reams J. Nurs Manage. 2011;42:18-20.

STUDY

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.

REVIEW

'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.

PRESS RELEASE/ANNOUNCEMENT

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.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

STUDY

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.

TOOLKIT

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.

STUDY

Improving communication in the emergency department.

Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.

COMMENTARY

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.

STUDY

Identifying vulnerabilities in communication in the emergency department.

Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.

STUDY

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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