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[Failure mode effect analysis for safety improvement in the automatic drug dispensing systems]
E Prado-Mel1, M Mejías Trueba1, I Reyes González1
1Servicio de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España.
Journal of Healthcare Quality Research
|January 26, 2021
Summary
Failure Mode Effect Analysis (FMEA) identified critical risks in automated dispensing cabinets. Implementing improvement actions significantly reduced these risks, enhancing routine procedure safety.
Area of Science:
- Healthcare technology assessment
- Patient safety science
Background:
- Automated dispensing cabinets (ADCs) are increasingly used in healthcare settings.
- Ensuring the safety and efficiency of ADC use is crucial for patient care.
Purpose of the Study:
- To systematically identify potential risks associated with automated dispensing cabinet (ADC) use.
- To improve the safety of routine procedures involving ADCs.
Main Methods:
- Failure Mode and Effect Analysis (FMEA) methodology was employed.
- A multidisciplinary team identified failure modes and assessed their impact using the Risk Priority Number (RPN).
- Improvement measures were developed for critical failure modes (RPN > 100).
Main Results:
- The ADC process was analyzed across five sub-processes.
- Twenty-two failure modes were identified, with the dispensing/returning sub-process by nursing staff showing the most critical risks.
- Severity of failure modes ranged from 2 to 8.
Conclusions:
- FMEA is an effective tool for analyzing risks in ADC systems.
- Implementing targeted improvement actions demonstrably reduced risks associated with ADC use.
- Enhanced safety protocols can be derived from systematic risk assessment.
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