Author: Linrun Wang, Ying Li, Yan Lou, Guobing Zhang, Jian Chen, Yang Wang and Xingguo Zhang

Publishing Date: 2017

E-ISSN: 1011-601X

Volume 30 Issue 3


Chemotherapy is considered a high-risk procedure where system failures are more likely to occur. Failure mode and effects analysis (FMEA) is a systematic, multidisciplinary team-based approach to error prevention. We described our experience of using FMEA as a prospective risk-management technique throughout the chemotherapy process. The occurrence, detectability and severity were assessed. Fifteen potential risk factors associated with 10 failure modes were identified. Improvement measures were proposed according to risk priority number. A computerized physician order entry (CPOE) and complete prescription audit system (CPAS) were introduced to reduce potential risks during chemotherapy. Introduction of this system was associated with a decrease from 2.60% to 0.60%. As a result, FMEA is a useful tool to evaluate potential risk in healthcare processes.

KEYWORDS: failure mode and effects analysis (FMEA), chemotherapy process, risk analysis, computerized physician order entry (CPOE), complete prescription audit system (CPAS)

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