Challenges with the performance of failure mode and effects analysis in healthcare organizations: An iv medication administration HFMEA

Involving Intensive Care Unit Nurses in a Proactive Risk Assessment of the Medication Management Process

“…Strengths include the multidisciplinary aspect of PRA teams,12,15–17 patient involvement,15 and improved understanding of the process 18. Weaknesses include the time necessary to complete a PRA18–20; Wetterneck et al,16 for example, reported that the FMEA of an adult inpatient medication system required more than 46 hours of meetings for nearly five months. PRAs have also been criticized because of the tedious process involved in and difficulty of the analysis,18,20 problems with the scoring system,16,17,19 and unreliability of scoring 21.…”

“…Weaknesses include the time necessary to complete a PRA18–20; Wetterneck et al,16 for example, reported that the FMEA of an adult inpatient medication system required more than 46 hours of meetings for nearly five months. PRAs have also been criticized because of the tedious process involved in and difficulty of the analysis,18,20 problems with the scoring system,16,17,19 and unreliability of scoring 21. Other challenges to successful PRAs include not conducting the requisite preliminary process mapping, the team’s lack of experience with PRA, limited involvement of stakeholders in the PRA team, a flawed understanding of the processes and systems under study, inconsistent attendance of participants, insufficient time for discussion during PRA team meetings, a lack of focus, and lack of experienced facilitators 16,22.…”

Classical and fuzzy FMEA risk analysis in a sterilization unit

“…The application of FMEA was first applied by the U.S. Army; then, it was generally applied to the automotive industry and was first performed within the healthcare system in the 1990s. In the mid-1990s the Institute for Safe Medication Practices recommended that FMEA be used to prevent errors that occur when There are numerous studies that use FMEA in the healthcare sector (Soykan et al, 2014;Khasha et al, 2013;Wetterneck et al, 2004;Reiling et al, 2003). Soykan et al (2014) used the FMEA method to study nine infectious diseases using risk factor parameters such as O, D and S. They ranked the RPNs according to the three risk factors and evaluated the risks beginning with those that had the highest RPN.…”

Human factors and ergonomics as a patient safety practice

“…Proactive risk assessment methods, such as failure mode and effects analysis (FMEA), are HFE methods that can be used to evaluate high-risk processes in healthcare and provide input for healthcare process design 62 63. A number of publications provide guidance for conducting proactive risk assessment such as FMEA62 64 and discuss challenges in performing such analysis 65 66. The sixth study describes an FMEA of the intravenous medication administration process conducted to assess the potential HFE and safety issues of a new intravenous pump 67…”