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Original Article

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

Nam Young Yang, Mi Hyang Lee
Journal of Korean Academy of Nursing Administration 2015;21(3):254-262.
Published online: June 30, 2015

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: February 9, 2015   • Revised: March 11, 2015   • Accepted: April 15, 2015

Copyright © 2015 Korean Academy of Nursing Administration

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.

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  • 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.
  • Key Words: Chemotherapy; Patient safety
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  • 2. Cheng CH, Chou CJ, Wang PC, Lin HY, Kao CL, Su CT. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36:1543-1551.
  • 3. Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis™: A technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-398.
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  • 7. Park BN, Joo HJ, Lee CH, Lim SS. A study on FMEA for Railway Vehicle. In: 2009 Spring Conference of Korean Society for Railway; 2009, May 21; Gyeongju.
  • 8. Ko SS. A study on evaluation of influence factors about the construction delay applying FEMA in apartment housing [master's thesis]. Seoul: Hanyang University; 2007.
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Table 1

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

jkana-21-254-i001.jpg
Table 2

Inpatient Chemotherapy Process

jkana-21-254-i002.jpg
Table 3

Example Failure Modes, Cause, and Risk Probability Number

jkana-21-254-i003.jpg

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

Table 4

Development of Remedial Strategies

jkana-21-254-i004.jpg
Table 5

Effect of Failure Mode and Effect Analysis

jkana-21-254-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Assessment of Radiation Safety Incident Risk Factors in Radiation Oncology Department Using the P-mSHEL Factor Analysis Model
      Young-Lock Kim, Dae-Gun Kim, Jae-Hong Jung
      Journal of Radiological Science and Technology.2024; 47(4): 287.     CrossRef
    • Patient waiting time management through fuzzy based failure mode and effect analysis
      Shadi Dorosti, Mahdi Fathi, Saeid Jafarzadeh Ghoushchi, Marzieh Khakifirooz, Mohammad Khazaeili
      Journal of Intelligent & Fuzzy Systems.2020; 38(2): 2069.     CrossRef
    • A Study on Failure Mode and Effect Analysis (FMEA) for Preoperative Risk Prevention
      Chang Hee Kim, Mi Hyang Lee
      Journal of Korean Academy of Nursing Administration.2016; 22(5): 415.     CrossRef

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    Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing
    J Korean Acad Nurs Adm. 2015;21(3):254-262.   Published online June 30, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.3.254
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    • Citation for the content below
    Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing
    J Korean Acad Nurs Adm. 2015;21(3):254-262.   Published online June 30, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.3.254
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    Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing
    Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing

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

    Inpatient Chemotherapy Process

    Example Failure Modes, Cause, and Risk Probability Number

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

    Development of Remedial Strategies

    Effect of Failure Mode and Effect Analysis
    Table 1 Example Scoring System of Severity, Frequency of Occurrence and Detecability for Input into Failure Mode and Effects Analysis

    Table 2 Inpatient Chemotherapy Process

    Table 3 Example Failure Modes, Cause, and Risk Probability Number

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

    Table 4 Development of Remedial Strategies

    Table 5 Effect of Failure Mode and Effect Analysis

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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