ArticleBMC public health2021
Application of failure mode and effects analysis (FMEA) to improve medication safety in the dispensing process - a study at a teaching hospital, Sri Lanka.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Use of failure mode and effects analysis for risk analysis of investigational drug products management in clinical trials.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026Article
- Automated Covalent Microcontact Bioprinting of Lubricant-Infused Microarrays for Biological Assays.Small (Weinheim an der Bergstrasse, Germany) · 2025Article
- Emergency department pathway for pain management using DELPHI approach and criticality analysis.Scientific reports · 2025Article
- Impact of FMEA-based proactive nursing combined with individualized functional exercise on hip function in patients following hip replacement.Perioperative medicine (London, England) · 2025Article
- Use of failure mode and effect analysis to improve the monoclonal antibody drugs management process in pharmacy intravenous admixture services.Scientific reports · 2025Article
- Effectiveness of Plan-Do-Check-Act approach in improving the safe injection practice among healthcare workers in a secondary-level healthcare facility - A pre- and post-study design.Journal of education and health promotion · 2025Article
- Using the Failure Mode and Effect Analysis Tool to Improve the Automatic Stop Order Process.Global journal on quality and safety in healthcare · 2024Article
- Transforming Hospital Quality Improvement Through Harnessing the Power of Artificial Intelligence.Global journal on quality and safety in healthcare · 2024Article
- InvestigatingHeliyon · 2024Article
- Application of Failure Mode and Effects Analysis to Improve the Quality of the Front Page of Electronic Medical Records in China: Cross-Sectional Data Mapping Analysis.JMIR medical informatics · 2024Article
- Article
- Overview of Failure Mode and Effects Analysis (FMEA): A Patient Safety Tool.Global journal on quality and safety in healthcare · 2023Article
- Use of Failure Mode and Effects Analysis (FMEA) for Risk Analysis of Drug Use in Patients with Lung Cancer.International journal of environmental research and public health · 2022Article
- Use of failure mode and effect analysis to reduce patient safety risks in purchasing prescription drugs from online pharmacies in China.Frontiers in medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFailure mode and effects analysis (FMEA) is a prospective, team based, structured process used to identify system failures of high risk processes before they occur. Medication dispensing is a risky process that should be analysed for its inherent risks using FMEA. The objective of this study was to identify possible failure modes, their effects, and causes in the dispensing process of a selected tertiary care hospital using FMEA.
methodsTwo independent teams (Team A and Team B) of pharmacists conducted the FMEA for two months in the Department of Pharmacy of a selected teaching hospital, Colombo, Sri Lanka. Each team had five meetings of two hours each, where the dispensing process and sub processes were mapped, and possible failure modes, their effects, and causes, were identified. A score for potential severity (S), frequency (F) and detectability (D) was assigned for each failure mode. Risk Priority Numbers (RPNs) were calculated (RPN=SxFxD), and identified failure modes were prioritised.
resultsTeam A identified 48 failure modes while Team B identified 42. Among all 90 failure modes, 69 were common to both teams. Team A prioritised 36 failure modes, while Team B prioritised 30 failure modes for corrective action using the scores. Both teams identified overcrowded dispensing counters as a cause for 57 failure modes. Redesigning of dispensing tables, dispensing labels, the dispensing and medication re-packing processes, and establishing a patient counseling unit, were the major suggestions for correction.
conclusionFMEA was successfully used to identify and prioritise possible failure modes of the dispensing process through the active involvement of pharmacists.
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