Journal of Medical Systems

, Volume 36, Issue 3, pp 1543–1551

Applying HFMEA to Prevent Chemotherapy Errors

Authors

  • Chia-Hui Cheng
    • Quality Management CenterCathay General Hospital
  • Chia-Jen Chou
    • Department of Industrial Engineering and Engineering ManagementNational Tsing Hua University
  • Pa-Chun Wang
    • Department of OtolaryngologyCathay General Hospital
    • School of MedicineFu Jen Catholic University
    • Department of Public Health, College of Public HealthChina Medical University
  • Hsi-Yen Lin
    • Department of PharmacyCathay General Hospital
  • Chi-Lan Kao
    • Department of PharmacyCathay General Hospital
    • Department of Industrial Engineering and Engineering ManagementNational Tsing Hua University
ORIGINAL PAPER

DOI: 10.1007/s10916-010-9616-7

Cite this article as:
Cheng, C., Chou, C., Wang, P. et al. J Med Syst (2012) 36: 1543. doi:10.1007/s10916-010-9616-7

Abstract

To evaluate risk and vulnerability in the chemotherapy process using a proactive risk analysis method. Healthcare failure mode and effect analysis (HFMEA) was adopted to identify potential chemotherapy process failures. A multidisciplinary team is formed to identify, evaluate, and prioritize potential failure modes based on a chemotherapy process flowchart. Subsequently, a decision tree is used to locate potential failure modes requiring urgent improvement. Finally, some recommended actions are generated and executed to eliminate possible risks. A total of 11 failure modes were identified with high hazard scores in both inpatient and outpatient processes. Computerized physician order entry was adopted to eliminate potential risks in chemotherapy processes. Chemotherapy prescription errors significantly decreased from 3.34% to 0.40%. Chemotherapy is regarded as a high-risk process. Multiple errors can occur during ordering, preparing, compounding, dispensing, and administering medications. Subsequently, these can lead to serious consequences. HFMEA is a useful tool to evaluate potential risk in healthcare processes.

Keywords

Healthcare failure mode and effect analysis (HFMEA)Chemotherapy processRisk analysisComputerized physician order entry

Copyright information

© Springer Science+Business Media, LLC 2010