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Failure Mode Effects Analysis
PATIENT SAFETY PRIMERS
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Failure Mode Effects Analysis
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NEWSPAPER/MAGAZINE ARTICLE
Anticoagulant safety takes center stage in 2007.
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
COMMENTARY
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
COMMENTARY
Random safety auditing, root cause analysis, failure mode and effects analysis.
Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
BOOK/REPORT
The Basics of FMEA.
McDermott RE, Mikulak RJ, Beauregard MR. Portland, OR: Resources Engineering, Inc.; 1996.
COMMENTARY
Radiology failure mode and effect analysis: what is it?
Abujudeh HH, Kaewlai R. Radiology. 2009;252:544-550.
BOOK/REPORT
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Chicago, IL: American Society of Healthcare Risk Management; 2002.
STUDY
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.
STUDY
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.
COMMENTARY
Best-practice protocols: Preventing adverse drug events.
Weir VL. Nurs Manage. 2005;36:24-30.
STUDY
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
COMMENTARY
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.
COMMENTARY
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.
BOOK/REPORT
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
STUDY
Identifying vulnerabilities in communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.
COMMENTARY
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.
COMMENTARY
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.
TOOLKIT
Looking Collectively at Risk.
Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.
STUDY
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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