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Yang and Lee: Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing
Original Article

Journal of Korean Academy of Nursing Administration 2015; 21(3): 254-262.

Published online: 30 June 2015

DOI: https://doi.org/10.11111/jkana.2015.21.3.254

Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing

Nam Young Yang, Mi Hyang Lee

College of Nursing, Konyang University, Korea.

Correspondence: Lee, Mi Hyang. College of Nursing, Konyang University, 158 Gwanjeodong-ro, Seo-gu, Daejeon 302-718, Korea. Tel: +82-42-600-6349, Fax: +82-42-600-6314, haha9453@hanmail.net

Received 9 February 2015       Revised 11 March 2015       Accepted 15 April 2015

Copyright © 2015 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to apply failure mode & effect analysis (FMEA) to chemotherapy in order to reduce prescribing, dispensing and administering errors related to treatment and provide patients with a safe medical environment.

Methods

A one group pre-post test design was used to verify the effects using the tool for FMEA in chemotherapy.

Results

There was a statistically significant decrease in prescribing errors from 11.47% to 3.18%; administering errors decreased but they were not statistically significant. In a addition, there was no change in dispensing errors.

Conclusion

The results show that FMEA removed risk factors that might occur during the process of chemotherapy and that it was an effective tool for prevention of negligent accident occurring in actual patients.

Keywords: Chemotherapy, Patient safety

Figures and Tables

Table 1

Example Scoring System of Severity, Frequency of Occurrence and Detecability for Input into Failure Mode and Effects Analysis

jkana-21-254-i001
Table 2

Inpatient Chemotherapy Process

jkana-21-254-i002
Table 3

Example Failure Modes, Cause, and Risk Probability Number

jkana-21-254-i003

BSA=Body surface area; S=Severity; O=Occurrence; D=Detection; RPN=Risk probability number.

Table 4

Development of Remedial Strategies

jkana-21-254-i004
Table 5

Effect of Failure Mode and Effect Analysis

jkana-21-254-i005

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