The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols

Detalhes bibliográficos
Autor(a) principal: Abi,Alissa Xavier da Costa Furtado
Data de Publicação: 2022
Outros Autores: Cruz,Elaine Dhemer de Almeida, Pontes,Letícia, Santos,Tatiane dos, Felix,Jorge Vinícius Cestari
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Enfermagem (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000400179
Resumo: ABSTRACT Objectives: to identify, classify, and analyze modes of failure in the medication process. Methods: evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers. Results: 207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%). The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities. Conclusions: the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.
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spelling The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocolsMedication ErrorsHealthcare Failure Mode and Effect AnalysisPatient SafetyProtocolNursingABSTRACT Objectives: to identify, classify, and analyze modes of failure in the medication process. Methods: evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers. Results: 207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%). The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities. Conclusions: the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.Associação Brasileira de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000400179Revista Brasileira de Enfermagem v.75 n.3 2022reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2021-0153info:eu-repo/semantics/openAccessAbi,Alissa Xavier da Costa FurtadoCruz,Elaine Dhemer de AlmeidaPontes,LetíciaSantos,Tatiane dosFelix,Jorge Vinícius Cestarieng2022-01-28T00:00:00Zoai:scielo:S0034-71672022000400179Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2022-01-28T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false
dc.title.none.fl_str_mv The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
title The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
spellingShingle The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
Abi,Alissa Xavier da Costa Furtado
Medication Errors
Healthcare Failure Mode and Effect Analysis
Patient Safety
Protocol
Nursing
title_short The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
title_full The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
title_fullStr The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
title_full_unstemmed The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
title_sort The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
author Abi,Alissa Xavier da Costa Furtado
author_facet Abi,Alissa Xavier da Costa Furtado
Cruz,Elaine Dhemer de Almeida
Pontes,Letícia
Santos,Tatiane dos
Felix,Jorge Vinícius Cestari
author_role author
author2 Cruz,Elaine Dhemer de Almeida
Pontes,Letícia
Santos,Tatiane dos
Felix,Jorge Vinícius Cestari
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Abi,Alissa Xavier da Costa Furtado
Cruz,Elaine Dhemer de Almeida
Pontes,Letícia
Santos,Tatiane dos
Felix,Jorge Vinícius Cestari
dc.subject.por.fl_str_mv Medication Errors
Healthcare Failure Mode and Effect Analysis
Patient Safety
Protocol
Nursing
topic Medication Errors
Healthcare Failure Mode and Effect Analysis
Patient Safety
Protocol
Nursing
description ABSTRACT Objectives: to identify, classify, and analyze modes of failure in the medication process. Methods: evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers. Results: 207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%). The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities. Conclusions: the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000400179
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000400179
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0034-7167-2021-0153
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Enfermagem
publisher.none.fl_str_mv Associação Brasileira de Enfermagem
dc.source.none.fl_str_mv Revista Brasileira de Enfermagem v.75 n.3 2022
reponame:Revista Brasileira de Enfermagem (Online)
instname:Associação Brasileira de Enfermagem (ABEN)
instacron:ABEN
instname_str Associação Brasileira de Enfermagem (ABEN)
instacron_str ABEN
institution ABEN
reponame_str Revista Brasileira de Enfermagem (Online)
collection Revista Brasileira de Enfermagem (Online)
repository.name.fl_str_mv Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)
repository.mail.fl_str_mv reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br
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