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Performing a preliminary hazard analysis applied to administration of injectable drugs to infants
Author(s) -
Hfaiedh Nadia,
Kabiche Sofiane,
Delescluse Catherine,
Balde IssaBella,
Merlin Sophie,
Carret Sandra,
Pontual Loïc,
Fontan JeanEudes,
Schlatter Joël
Publication year - 2017
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/jep.12748
Subject(s) - medicine , hazard , prioritization , hazardous waste , medication error , risk management , medical emergency , multidisciplinary approach , risk assessment , emergency medicine , intensive care medicine , risk analysis (engineering) , patient safety , computer science , health care , engineering , computer security , chemistry , management , organic chemistry , management science , economics , economic growth , social science , sociology , waste management
Rationale, Aims and Objectives Errors in hospitals during the preparation and administration of intravenous drugs to infants and children have been reported to a rate of 13% to 84%. This study aimed to investigate the potential for hazardous events that may lead to an accident for preparation and administration of drug injection in a pediatric department and to describe a reduction plan of risks. Methods The preliminary hazard analysis (PHA) method was implemented by a multidisciplinary working group over a period of 5 months (April‐August 2014) in infants aged from 28 days to 2 years. The group identified required hazard controls and follow‐up actions to reduce the error risk. To analyze the results, the STATCART APR software was used. Results During the analysis, 34 hazardous situations were identified, among 17 were quoted very critical and drawn 69 risk scenarios. After follow‐up actions, the scenarios with unacceptable risk declined from 17.4% to 0%, and these with acceptable under control from 46.4% to 43.5%. Conclusion The PHA can be used as an aid in the prioritization of corrective actions and the implementation of control measures to reduce risk. The PHA is a complement of the a posteriori risk management already exists.