OBJECTIVE:To explore the application effects of Health Failure Mode and Effect Analysis(HFMEA)in the outpatient drug management process.METHODS:Using HFMEA as the theoretical framework,the hazard analysis and decision tree analysis were conducted on drug management process in the outpatient pharmacy of the hospital,the failure mode that need to be corrected immediately was identified,and corresponding improvement plans were formulated.From Jul.To Dec.2021 was taken as before intervention and from Jul.To Dec.2022 was taken as after intervention(after the HFMEA team implemented the improvement plans),the improvements of risk-prioritized number(RPN)and drug management items(drug turnover days,drug receive time,inventory time,number of validity-verification adverse events,number of drug acceptance inspection errors)were compared before and after intervention to analyze the improvement effects.RESULTS:After 6 months of intervention,the RPN had decreased from 234 before intervention to 96,with a decreasing amplitude of 59%,the drug turnover days,drug receive time and inventory time were significantly shortened,the numbers of validity-verification adverse events and drug acceptance inspection errors were significantly reduced,with statistically significant differences(P<0.05).CONCLUSIONS:The application of HFMEA to effectively screen out the failure mode in drug management process and to establish informationized drug management system can significantly improve the drug management levels,reduce medication errors,ensure safe and effective medication in patients.
关键词
医疗失效模式与效应分析/药品管理/门诊药房
Key words
Health failure mode and effect analysis/Drug management/Outpatient pharmacy
维普
万方数据