Department of Pharmacy, Colombo South Teaching Hospital, Dehiwala, Sri Lanka.
Commonwealth Pharmacists Association, London, UK.
Postgrad Med J. 2021 Mar;97(1145):168-174. doi: 10.1136/postgradmedj-2019-137484. Epub 2020 Aug 25.
Medication safety is a phenomenon of interest in most healthcare settings worldwide. Failure Mode and Effect Analysis (FMEA) is a prospective method to identify failures. We systematically reviewed the application of FMEA in improving medication safety in the medication use process. Electronic databases were searched using keywords ((failure mode and effect analysis) AND (pharmacy OR hospital)). Articles that fulfilled prespecified inclusion criteria were selected and were then screened independently by two researchers. Studies fulfilling the inclusion criteria and cited in articles selected for the study were also included. Selected articles were then analysed according to specified objectives. Among 27€706 articles obtained initially, only 29 matched the inclusion criteria. After adding four cited articles, a total of 33 articles were analysed. FMEA was used to analyse both existing systems and new policies before implementing. All participants of FMEA reported that this process was an effective group activity to identify errors in the system, although time-consuming and subjective.
药物安全是全球大多数医疗保健环境中关注的现象。失效模式和效果分析（FMEA）是一种前瞻性方法，可用于识别故障。我们系统地回顾了 FMEA 在改善用药过程中的药物安全方面的应用。使用关键词（（失效模式和效果分析）和（药房或医院））在电子数据库中进行搜索。选择符合预设纳入标准的文章，然后由两名研究人员独立筛选。还包括符合纳入标准并被选中文章引用的文章。然后根据指定的目标对选定的文章进行分析。在最初获得的 27706 篇文章中，只有 29 篇符合纳入标准。添加了四篇引用的文章后，共分析了 33 篇文章。FMEA 用于在实施之前分析现有系统和新政策。所有 FMEA 的参与者都报告说，尽管耗时且主观，但该过程是识别系统中错误的有效集体活动。
