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Journal Article > Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Robinson DL, Heigham M, Clark J. Jt Comm J Qual Patient Saf. 2006;32:161-166.
This study discusses the experiences of a single institution in using failure mode and effects analysis (FMEA) to develop strategies for reducing the risk of chemotherapeutic medication errors. The authors outline the operational steps in assembling a FMEA team, a detailed account of the process itself, and the mechanism by which they categorized their recommendations (ie, prescribing, dispensing, and administration). They further discuss the results of their experience, the strategies that were developed, and the postimplementation results. These results included a decreased error rate in prescribing, an increased use of preprinted order sets, and a decreasing number of dispensing and administration errors.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
Journal Article > Commentary
Aboumatar HJ, Winner L, Davis R, et al. Jt Comm J Qual Patient Saf. 2010;36:79-86, AP1-AP4.
Journal Article > Study
Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting.
Stojkovic T, Marinkovic V, Jaehde U, Manser T. Res Social Adm Pharm. 2017;13:1159-1166.
Failure mode and effect analysis is a tool commonly used to proactively assess the reliability of health care processes and workflows. The authors describe the application of failure mode and effect analysis to identify failure modes in the dispensing of medications in the community pharmacy setting.
Journal Article > Review
Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal.
Stojkovic T, Marinkovic V, Manser T. J Patient Saf. 2017 Jun 29; [Epub ahead of print].
This narrative review found that failure mode and effect analysis and sociotechnical probabilistic risk assessment have both been applied to medication dispensing. These methods have led to corrective actions that enhance medication safety. The authors recommend wider use of these tools across inpatient and outpatient health care settings.