Failure Mode Effects Analysis
PATIENT SAFETY PRIMERS
Device-related Complications (5)
Diagnostic Errors (2)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (7)
Medication Safety (30)
Medical Complications (1)
Nonsurgical Procedural Complications (1)
Surgical Complications (4)
Psychological and Social Complications (1)
North America (46)
Journal Article (46)
Newspaper/Magazine Article (5)
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Special or Theme Issue (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (12)
Active Errors (11)
Latent Errors (6)
Near Miss (1)
Approach to Improving Safety
Failure Mode Effects Analysis
Health Care Providers (45)
Health Care Executives and Administrators (51)
Non-Health Care Professionals (24)
Setting of Care
Ambulatory Care (4)
Outpatient Surgery (1)
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Don't underestimate the impact of change on risk potential.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
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.
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
Random safety auditing, root cause analysis, failure mode and effects analysis.
Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
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.
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Lindenauer P. AHRQ WebM&M [serial online]. November 2006.
Drill down with root cause analysis.
McDonald A, Leyhane T. Nurs Manage. 2005;36:26-32.
Case study: identifying potential problems at the human/technical interface in complex clinical systems.
Caudill-Slosberg M, Weeks WB. Am J Med Qual. 2005;20:353-357.
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
Safety strategies in an academic radiation oncology department and recommendations for action.
Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.
SPECIAL OR THEME ISSUE
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.
Health Serv Res. 2006;41:1535-1720.
Improving communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.
Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care
Rich V. AHRQ WebM&M [serial online]. August 2009.
Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report.
Lago P, Bizzarri G, Scalzotto F, et al. BMJ Open. 2012;2:e001249.
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.
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS).
Varricchio F, Reed J, and the VAERS Working Group. South Med J. 2006;99:486-489.
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
Anticoagulant safety takes center stage in 2007.
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
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