Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations.

Details

Serval ID
serval:BIB_854926B35133
Type
Article: article from journal or magazin.
Collection
Publications
Title
Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations.
Journal
European Journal of Hospital Pharmacy
Author(s)
Schumacher L., Berthaudin F., Blanc A.-L., Blatrie C., Staines A., Bonnabry P., Widmer N.
ISSN
2047-9956 (Print)
ISSN-L
2047-9956
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
28
Number
Suppl 2
Pages
s171-s179
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
To ensure patient safety and the preparedness of medication processes during hospital relocations and evacuations by using Failure Modes, Effects, and Criticality Analysis (FMECA).
The relocation of six regional hospitals to a single building, resulting in 400 beds being moved, could be compared with an emergency evacuation. An FMECA was performed on the hospital group's internal medicine and intensive care units (IMU and ICU), examining how medication processes would be affected by a hospital relocation or evacuation.
We identified 59 hospital relocation and 68 evacuation failure modes. Failure modes were ranked based on their criticality index (CI; range 1-810). The higher the CI, the greater the patient-related risk. Average initial IMU and ICU hospital relocation CI scores were 160 (range 105-294) and 201 (range 125-343), respectively, subsequently reduced to 32 (-80%) and 49 (-76%) after mitigation measures. Average initial IMU and ICU evacuation CI scores were 319 (range 245-504) and 592 (range 441-810), respectively, subsequently reduced to 194 (-39%) and 282 (-52%). Most mitigation measures (17/22), such as for example checklists, could be implemented in both situations. Due to their unpredictable nature, five measures were specific to evacuation situations.
This study highlights the value of using an FMECA on medication processes to anticipate potential negative impacts on patient safety during hospital relocations or evacuations. Preparation for a hospital relocation can provide useful knowledge and an opportunity to test mitigation measures that might prove useful in evacuations.
Keywords
emergency medicine, facility design and construction, organization and administration, quality of health care, safety
Pubmed
Create date
20/04/2021 20:32
Last modification date
04/11/2021 10:41
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