| The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | |
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MedLine Citation:
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PMID: 22151584 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Christina Nguyen; Justine Côté; Denis Lebel; Elaine Caron; Christine Genest; Monia Mallet; Véronique Phan; Jean-François Bussières |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-12 |
Journal Detail:
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Title: Journal of evaluation in clinical practice Volume: - ISSN: 1365-2753 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Pharmacist Pharmacist Research Nurse Unit Chief Nurse Nephrologist, CHU Sainte-Justine, Montréal, Quebec, Canada Pharmacist, CHU Sainte-Justine, Montréal, Quebec, Canada and present address: Pharmacist, Hôpital de Montréal pour enfants, Montréal, Quebec, Canada Pharmacist Pharmacy Department Chief, CHU Sainte-Justine, Montréal, Quebec, Canada and Professor, Faculté de pharmacie de l'université de Montréal, Quebec, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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