Use of failure mode and effects analysis in improving the safety of i.v. drug administration

American Journal of Health-System Pharmacy

Volumn 62, Issue 9, 2005, Pages 917-920

  Adachi, Wayne ^a   Lodolce, Amy E ^b  

^a Good Samaritan Hospital San Jose   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Abbreviations; Devices; Diluents; Dosage; Drug administration rate; Errors, medication; Formularies; Hospitals; Injections; Medication orders; Methodology; Toxicity

Indexed keywords

DILUENT; DOPAMINE; DRUG; HEPARIN; MORPHINE;

ANALYTIC METHOD; ARTICLE; CONCENTRATION (PARAMETERS); DATA ANALYSIS; DRUG ADMINISTRATION ROUTE; DRUG SAFETY; DRUG USE; EVALUATION; FAILURE MODE AND EFFECTS ANALYSIS; FOLLOW UP; HEALTH CARE ORGANIZATION; HOSPITAL; INFUSION PUMP; INFUSION SYSTEM; INTRAVENOUS ADMINISTRATION; MEDICAL ERROR; MEDICATION ERROR; PRIORITY JOURNAL; RISK MANAGEMENT; SAFETY; STANDARD;

EID: 17844410329     PISSN: 10792082     EISSN: None     Source Type: Journal    
DOI: 10.1093/ajhp/62.9.917     Document Type: Article

References (8)

1. Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.
2. Institute for Safe Medication Practices. ISMP medication safety alert! How fast is too fast for IV push medications? www.ismp.org/msaarticles/ismp% 20safety%20alert%20-%20push% 20drugs.doc (accessed 2004 Jun 11).
3. Cohen MR, Kilo CM. High-alert medications: safeguarding against errors. In: Cohen MR, ed. Medication errors. Washington, DC: American Pharmaceutical Association; 1999:5.1-5.40.
4. Grissinger M. Failure mode and effects analysis can help guide error-prevention efforts. P&T. 2003; 28:8.
5. Spath PL. Using failure mode and effects analysis to improve patient safety. AORN J. 2003; 78:16-37.
6. Cohen MR, Senders J, Davis NM. Failure mode and effects analysis: a novel approach to avoiding dangerous medication errors and accidents. Hosp Pharm. 1994; 29:319-24,326-8,330.
7. Joint Commission on Accreditation of Healthcare Organizations. 2005 hospitals' National Patient Safety Goals. www.jcaho. org/ accredited+organizations/patient+safety/05+npsg/05._npsg_ hap.htm (accessed 2004 Aug 28).
8. Joint Commission on Accreditation of Healthcare Organizations. FMECA worksheets. www.jcaho.org/accredited+ organizations/patient+safety/fmeca/ index.htm (accessed 2005 Jan 26).