[Prospective risk analysis in a retrocession unit: Focus on drug dispensation process].
Analyse des risques a priori en unité de rétrocession hospitalière : focus sur le processus de dispensation.
France
Healthcare Failure Mode and Effect Analysis
/ organization & administration
Hospitals, University
/ organization & administration
Humans
Medication Errors
/ prevention & control
Medication Systems
/ organization & administration
Pharmacy Service, Hospital
/ statistics & numerical data
Prospective Studies
Risk Assessment
AMDEC
Analyse des modes de défaillance
Criticity
Criticité
Dispensation de médicament
Drug dispensing
FMEA
Failure mode effect analysis
Management tool
Rétrocession hospitalière
Journal
Annales pharmaceutiques francaises
ISSN: 0003-4509
Titre abrégé: Ann Pharm Fr
Pays: France
ID NLM: 2985176R
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
25
04
2019
revised:
21
06
2019
accepted:
24
06
2019
pubmed:
1
10
2019
medline:
20
11
2020
entrez:
1
10
2019
Statut:
ppublish
Résumé
Failure mode effect analysis (FMEA) improves safety in the drug life cycle. As the drug dispensation by hospital's pharmacy can be at risk, the FMEA tool has been used to evaluate and enhance the process. After detailing the process, a first FMEA has been run in 2015. Corrective actions were implemented every time criticality indexes (CI) were above 15. One year later, we have evaluated potential impacts of these actions by running a new FMEA. In 2015, 11 failure modes were prioritized (CI>15) and the total CI for the overall process was 397. Corrective actions were implemented and one year later this amount has decreased by 14% (340) with 6 failure modes still prioritized. Thus, thanks to the FMEA, risks could be identified in year "y", they were taken into account and corrected and then effectively reassessed in year "y+1". This study showed us the interest of performing FMEA analysis in the drug dispensation process by hospital. The renewal of this risk analysis after a year helped us to monitor corrective actions, to evaluate their effectiveness and to improve safety. Finally, FMEA seems to be an effective way to steer the drug dispensation process.
Identifiants
pubmed: 31564422
pii: S0003-4509(19)30044-6
doi: 10.1016/j.pharma.2019.06.006
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
12-20Informations de copyright
Copyright © 2019 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.