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Updated: Apr 11, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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[Failure mode and effects analysis on computerized drug prescriptions].

J A Paredes-Atenciano1, J P Roldán-Aviña2, Mercedes González-García3

  • 1Departamento de Hospitalización, Hospital de Alta Resolución de Écija (Agencia Sanitaria Bajo Guadalquivir), Écija, Sevilla, España.

Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial
|June 9, 2015
PubMed
Summary

Failure Mode and Effects Analysis (FMEA) identified and reduced drug prescription errors by 22.2% in a hospital setting. Key areas for improvement included unspecified administration routes and dosages, enhancing patient safety.

Keywords:
Análisis modal de fallos y efectosCalidadDrug prescription errorsElectronic medical recordsError de prescripción del medicamentoFailure modes and effects analysisHistoria clínica electrónicaPatient safetyQuality of health careSeguridad

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Area of Science:

  • Medical Informatics
  • Patient Safety
  • Clinical Pharmacy

Background:

  • Drug prescription errors pose a significant risk to patient safety.
  • Accurate and complete prescriptions are crucial for effective treatment.

Purpose of the Study:

  • To identify and analyze drug prescription errors using Failure Mode and Effects Analysis (FMEA).
  • To evaluate the effectiveness of FMEA in improving prescription accuracy and patient safety.

Main Methods:

  • A multidisciplinary team applied FMEA to analyze free-text drug prescriptions.
  • A cross-sectional observational study with a two-phase audit (pre- and post-intervention) was conducted.
  • Sample size included 679 medical records from 2,096 patients.

Main Results:

  • Overall prescription errors decreased by 22.2% after the intervention.
  • FMEA highlighted high-risk areas such as unspecified route of administration and dosage.
  • Specific errors like incorrect dosing time and contraindications were identified and addressed.

Conclusions:

  • FMEA is an effective tool for identifying and analyzing drug prescription errors.
  • Implementing FMEA improved the clinical safety of drug prescriptions.
  • Mandatory completion of all prescription fields is recommended to prevent errors.