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Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)

Evaluation and improvement of drug management process are essential for patient safety. The present study was performed whit the aim of assessing risk of drug management process in Women Surgery Department of QEH using HFMEA method in 2013. A mixed method was used to analyze failure modes and their...

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Autores principales: khani-Jazani, Reza, Molavi-Taleghani, Yasamin, Seyedin, Hesam, Vafaee-Najar, Ali, Ebrahimipour, Hossein, Pourtaleb, Arefeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shaheed Beheshti University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4403066/
https://www.ncbi.nlm.nih.gov/pubmed/25901157
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author khani-Jazani, Reza
Molavi-Taleghani, Yasamin
Seyedin, Hesam
Vafaee-Najar, Ali
Ebrahimipour, Hossein
Pourtaleb, Arefeh
author_facet khani-Jazani, Reza
Molavi-Taleghani, Yasamin
Seyedin, Hesam
Vafaee-Najar, Ali
Ebrahimipour, Hossein
Pourtaleb, Arefeh
author_sort khani-Jazani, Reza
collection PubMed
description Evaluation and improvement of drug management process are essential for patient safety. The present study was performed whit the aim of assessing risk of drug management process in Women Surgery Department of QEH using HFMEA method in 2013. A mixed method was used to analyze failure modes and their effects with HFMEA. To classify failure modes; nursing errors in clinical management model, for classifying factors affecting error; approved model by the UK National Health System, and for determining solutions for improvement; Theory of Inventive Problem Solving, were used. 48 failure modes were identified for 14 sub-process of five steps drug management process. The frequency of failure modes were as follow :35.3% in supplying step, 20.75% in prescription step, 10.4% in preparing step, 22.9% in distribution step and 10.35% in follow up and monitoring step. Seventeen failure modes (35.14%) were considered as non-acceptable risk (hazard score≥ 8) and were transferred to decision tree. Among 51 Influencing factors, the most common reasons for error were related to environmental factors (21.5%), and the less common reasons for error were related to patient factors (4.3%). HFMEA is a useful tool to evaluating, prioritization and analyzing failure modes in drug management process. Revision drug management process based focus-PDCA, assessing adverse drug reactions (ADR), USE patient identification bracelet, holding periodical pharmaceutical conferences to improve personnel knowledge, patient contribution in drug therapy; are performance solutions which were placed in work order.
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spelling pubmed-44030662015-04-21 Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013) khani-Jazani, Reza Molavi-Taleghani, Yasamin Seyedin, Hesam Vafaee-Najar, Ali Ebrahimipour, Hossein Pourtaleb, Arefeh Iran J Pharm Res Original Article Evaluation and improvement of drug management process are essential for patient safety. The present study was performed whit the aim of assessing risk of drug management process in Women Surgery Department of QEH using HFMEA method in 2013. A mixed method was used to analyze failure modes and their effects with HFMEA. To classify failure modes; nursing errors in clinical management model, for classifying factors affecting error; approved model by the UK National Health System, and for determining solutions for improvement; Theory of Inventive Problem Solving, were used. 48 failure modes were identified for 14 sub-process of five steps drug management process. The frequency of failure modes were as follow :35.3% in supplying step, 20.75% in prescription step, 10.4% in preparing step, 22.9% in distribution step and 10.35% in follow up and monitoring step. Seventeen failure modes (35.14%) were considered as non-acceptable risk (hazard score≥ 8) and were transferred to decision tree. Among 51 Influencing factors, the most common reasons for error were related to environmental factors (21.5%), and the less common reasons for error were related to patient factors (4.3%). HFMEA is a useful tool to evaluating, prioritization and analyzing failure modes in drug management process. Revision drug management process based focus-PDCA, assessing adverse drug reactions (ADR), USE patient identification bracelet, holding periodical pharmaceutical conferences to improve personnel knowledge, patient contribution in drug therapy; are performance solutions which were placed in work order. Shaheed Beheshti University of Medical Sciences 2015 /pmc/articles/PMC4403066/ /pubmed/25901157 Text en © 2015 by School of Pharmacy, Shaheed Beheshti University of Medical Sciences and Health Services
spellingShingle Original Article
khani-Jazani, Reza
Molavi-Taleghani, Yasamin
Seyedin, Hesam
Vafaee-Najar, Ali
Ebrahimipour, Hossein
Pourtaleb, Arefeh
Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title_full Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title_fullStr Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title_full_unstemmed Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title_short Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013)
title_sort risk assessment of drug management process in women surgery department of qaem educational hospital (qeh) using hfmea method (2013)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4403066/
https://www.ncbi.nlm.nih.gov/pubmed/25901157
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