The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols

被引：6

作者：

Abi, Alissa Xavier da Costa Furtado ^{[1
]}

Cruz, Elaine Dhemer de Almeida ^{[1
]}

Pontes, Leticia ^{[1
]}

dos Santos, Tatiane

Felix, Jorge Vinicius Cestari ^{[1
]}

机构：

[1] Univ Fed Parana, Curitiba, Parana, Brazil

来源：

REVISTA BRASILEIRA DE ENFERMAGEM | 2022年 / 75卷 / 03期

关键词：

Medication Errors; Healthcare Failure Mode and Effect Analysis; Patient Safety; Protocol; Nursing; ERRORS;

D O I：

10.1590/0034-7167-2021-0153

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Objectives: to identify, classify, and analyze modes of failure in the medication process. Methods: evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers. Results: 207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%).The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities. Conclusions: the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.

引用

页数：5

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