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Application of Failure Mode and Effect Analysis (FMEA) to improve medication safety: a systematic review

Jayaweera A Lakshika Anjalee1, Victoria Rutter2, Nithushi R Samaranayake3

  • 1Department of Pharmacy, Colombo South Teaching Hospital, Dehiwala, Sri Lanka.

Postgraduate Medical Journal
|August 27, 2020
PubMed

Insights

Failure Mode and Effect Analysis (FMEA) is an effective group activity for identifying medication safety errors in healthcare systems. While time-consuming and subjective, this prospective method helps improve patient safety by analyzing systems and policies.

Area of Science:

  • Healthcare Management
  • Patient Safety
  • Risk Management

Background:

  • Medication safety is a critical concern in global healthcare.
  • Prospective methods are essential for identifying potential failures in medication use.
  • Failure Mode and Effect Analysis (FMEA) is a recognized technique for proactive risk assessment.

Purpose of the Study:

  • To systematically review the application of FMEA in enhancing medication safety.
  • To analyze how FMEA is utilized within the medication use process.
  • To identify the effectiveness and limitations of FMEA in healthcare settings.

Main Methods:

  • Systematic literature review of electronic databases.
  • Keywords used: (failure mode and effect analysis) AND (pharmacy OR hospital).
  • Inclusion criteria applied, with independent screening by two researchers; cited articles were also included.

Main Results:

  • 33 articles were analyzed after initial screening of 27,706 articles.
  • FMEA was applied to both existing systems and new policies prior to implementation.
  • Participants found FMEA effective for error identification but noted it was time-consuming and subjective.

Conclusions:

  • FMEA is a valuable group activity for proactively identifying medication errors.
  • The application of FMEA contributes to improving medication safety processes.
  • Addressing the time and subjectivity challenges can further optimize FMEA's utility.
Keywords:
Clinical pharmacologyhealth & safetyhealth services administration & managementquality in health care

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