Medical professionals try to put their best foot forward to prevent medication errors. As mentioned, errors can occur at any stage from the time a healthcare provider completes an order to the time of patient administration. It is difficult to blame a single person for the actual error as medication administration to a patient includes a whole team and multiple steps. Different studies show that death rate also increasing due to medication errors. The number of avoidable drug related injuries that occurs every year in hospitals is 4,00,000 and around 5,30,000 outpatient clinics amid Medicare patients (Kuwaiti,2016). Statistics show only 10 to 20 percent of medication errors are reported and among the reported cases only 5 to 10 percent caused Failure Modes and Effects Analysis(FMEA) is a tool that can be used to make a process deliver six sigma performance Failure Modes and Effects Analysis evaluates a process systematically. FMEA evaluates each step to find out the chances of failures. Identified failure mode will assigned with a numeric score that calculates (a) chances that the failure will occur, (b) chances that the failure won’t be detected, (c) the expanse of damage the failure mode that cause to a patient or equipment. The net result of all three scores is the Risk Priority Number (RPN) for that failure mode (www.ihi.org).The six-sigma team developed a process map to outline each step in the procedure for medication delivery. The main steps discussed in detail earlier, were: physician order, pharmacy medication entry, preparation of the dose, dispensing of the dose, infusion, equipment setup, and equipment monitoring. Each was being exposed to a Failure Modes and Effect Analysis (FMEA) and marked on a scale of 1 to 10 for three categories the frequency of incidence, severity and detectability. The scores were multiplied with each other to find out the risk priority number (RPN) for each
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