Failure Mode Effects Analysis
PATIENT SAFETY PRIMERS
Device-related Complications (5)
Diagnostic Errors (2)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (6)
Medication Safety (27)
Nonsurgical Procedural Complications (1)
Surgical Complications (4)
Psychological and Social Complications (1)
North America (53)
Journal Article (49)
Newspaper/Magazine Article (5)
Press Release/Announcement (1)
Special or Theme Issue (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (13)
Active Errors (10)
Latent Errors (6)
Near Miss (1)
Approach to Improving Safety
Failure Mode Effects Analysis
Health Care Providers (44)
Health Care Executives and Administrators (50)
Non-Health Care Professionals (25)
Setting of Care
Ambulatory Care (4)
Outpatient Surgery (1)
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Anticoagulant safety takes center stage in 2007.
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
Random safety auditing, root cause analysis, failure mode and effects analysis.
Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
The Basics of FMEA.
McDermott RE, Mikulak RJ, Beauregard MR. Portland, OR: Resources Engineering, Inc.; 1996.
Radiology failure mode and effect analysis: what is it?
Abujudeh HH, Kaewlai R. Radiology. 2009;252:544-550.
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Chicago, IL: American Society of Healthcare Risk Management; 2002.
Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.
Ford EC, Gaudette R, Myers L, et al. Int J Radiat Oncol Biol Phys. 2009;74:852-858.
SPECIAL OR THEME ISSUE
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.
Health Serv Res. 2006;41:1535-1720.
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.
Best-practice protocols: Preventing adverse drug events.
Weir VL. Nurs Manage. 2005;36:24-30.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
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.
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.
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
Identifying vulnerabilities in communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.
A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.
Ashley L, Armitage G, Neary M, Hollingsworth G. Jt Comm J Qual Patient Saf. 2010;36:351-358.
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Fassett WE. Am J Pharm Educ. 2011;75:164.
Looking Collectively at Risk.
Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.
Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.
Maio V, Hartmann CW, Poston S, Liu-Chen X, Diamond J, Arenson C. Am J Med Qual. 2006;21:162-168.
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