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The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor
Author(s) -
Nguyen Christina,
Côté Justine,
Lebel Denis,
Caron Elaine,
Genest Christine,
Mallet Monia,
Phan Véronique,
Bussières JeanFrançois
Publication year - 2013
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/j.1365-2753.2011.01799.x
Subject(s) - failure mode, effects, and criticality analysis , failure mode and effects analysis , multidisciplinary approach , psychological intervention , medicine , documentation , medical emergency , emergency medicine , process management , nursing , computer science , business , engineering , reliability engineering , social science , sociology , programming language
Objective The objective of this article was to critically evaluate the causes of adverse drug events during the nurse medication administration process in paediatric care units in order to identify and prioritize interventions that need to be implemented. Methodology This is a failure mode, effects and criticality analysis (FMECA) study. A multidisciplinary committee composed of nurses, pharmacists, physicians and risk managers evaluated through consensus the process of administering medications at the Centre hospitalier universitaire de Sainte‐Justine. By mapping the process, all the failure modes were identified and associated with at least one cause each. Using a summary grid, each failure mode was evaluated by rating frequency (from 1 to 9), likelihood of failure detection (from 0 to 100%) and severity (from 1 to 9) using adapted versions of already published scales. Results A 10‐member committee was set up, and it met eight times between January and April 2010. In the two specialized paediatric units selected ( n = 38 beds), an average number of approximately 20 000 drug doses was administered monthly from about 400 non‐proprietary names. Through consensus, the committee identified 16 processes and 53 failure modes. While frequency and severity were based on perceptions that could be objectivized with local data and scientific documentation, the likelihood of detection was mainly based on individual perception. Conclusion FMECA is a useful approach to improve the medication process.