Risk Analysis of Intravenous Drug Administration Process to Patients in a Brazilian Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/150517
Type:
Presentation
Title:
Risk Analysis of Intravenous Drug Administration Process to Patients in a Brazilian Hospital
Abstract:
Risk Analysis of Intravenous Drug Administration Process to Patients in a Brazilian Hospital
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Silva, Ana Elisa Bauer de Camargo, RN, PhD
P.I. Institution Name:Faculty of Nursing of Federal University of Goias
Title:RN, PhD, Professor in the Faculty of Nursing of Federal University of Goias
Co-Authors:Silvia H. De Bortoli Cassiani, RN, PhD
[Research Presentation] Purpose: This exploratory study has analysed potential risks associated to intravenous anti-infectious drug administration process. Methods: It was conducted at the university hospital in Goias, Central-West of Brazil, by Failure Modes and Effects Analysis method. For data collection was formed a multidisciplinary staff: risk and nurse manager, medical, nurse, pharmacist and searcher. Results: Results showed that administration process involves 4 micro process, 10 activities, 22 functions. The search identified 52 failure potential modes (FPM) whose most significant frequencies happened in the drug administration (30.8%); drug preparation (23.1%); drug delay (9,6%) and drug names transcription to tags (9.6%). The study identified also 79 failure potential effects (FPE). Among FPE, 36.2% were considered as of medium severity; 28.7% moderate severity, and 27.5% of high severity. High severity effects were identified in 80% of the activities. Effect classification pointed that the most frequent types were the following ones: technical (26.6%), omission (25.3%), schedule (19%). A number of 285 failure potential causes (FPC) were identified with the following occurrence rates: 91 (31.9%) medium, 78 (27.4%), low or extremely low; 40 (14.0%), high; and 30 (10.5%), extremely high. FPC were classified in three categories: organizational process management (43.9%); human resources (41.4%); physical and material structure (12.6%). Concerning to control types, results showed 92.9% derived from detection and 5.3% were prevention ones. FPC Risk priority number (RPN) calculation showed that 20.7% had high-risk priority; 54.7% medium and 24.6% low-risk priority. A number of 298 recommendations were done to high and medium priority FPC: 81.9% short term, 13.4% de medium term and 4.7% de long-term ones. Conclusion: Action impact simulation on failure modes allowed to identify a 79.7% reduction in high priority FPM as well a 59.6% one in high criticality FPM ones by means of simple and quick application measures that can improve reliability and safety in drug administration process.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRisk Analysis of Intravenous Drug Administration Process to Patients in a Brazilian Hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150517-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Risk Analysis of Intravenous Drug Administration Process to Patients in a Brazilian Hospital</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Silva, Ana Elisa Bauer de Camargo, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Faculty of Nursing of Federal University of Goias</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN, PhD, Professor in the Faculty of Nursing of Federal University of Goias</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">anaelisa@terra.com.br</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Silvia H. De Bortoli Cassiani, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: This exploratory study has analysed potential risks associated to intravenous anti-infectious drug administration process. Methods: It was conducted at the university hospital in Goias, Central-West of Brazil, by Failure Modes and Effects Analysis method. For data collection was formed a multidisciplinary staff: risk and nurse manager, medical, nurse, pharmacist and searcher. Results: Results showed that administration process involves 4 micro process, 10 activities, 22 functions. The search identified 52 failure potential modes (FPM) whose most significant frequencies happened in the drug administration (30.8%); drug preparation (23.1%); drug delay (9,6%) and drug names transcription to tags (9.6%). The study identified also 79 failure potential effects (FPE). Among FPE, 36.2% were considered as of medium severity; 28.7% moderate severity, and 27.5% of high severity. High severity effects were identified in 80% of the activities. Effect classification pointed that the most frequent types were the following ones: technical (26.6%), omission (25.3%), schedule (19%). A number of 285 failure potential causes (FPC) were identified with the following occurrence rates: 91 (31.9%) medium, 78 (27.4%), low or extremely low; 40 (14.0%), high; and 30 (10.5%), extremely high. FPC were classified in three categories: organizational process management (43.9%); human resources (41.4%); physical and material structure (12.6%). Concerning to control types, results showed 92.9% derived from detection and 5.3% were prevention ones. FPC Risk priority number (RPN) calculation showed that 20.7% had high-risk priority; 54.7% medium and 24.6% low-risk priority. A number of 298 recommendations were done to high and medium priority FPC: 81.9% short term, 13.4% de medium term and 4.7% de long-term ones. Conclusion: Action impact simulation on failure modes allowed to identify a 79.7% reduction in high priority FPM as well a 59.6% one in high criticality FPM ones by means of simple and quick application measures that can improve reliability and safety in drug administration process.</td></tr></table>en_GB
dc.date.available2011-10-26T10:35:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:35:16Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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