• Jose Javier Arenas Villafranca, Araceli Gómez Sánchez, Miriam Nieto Guindo, and Vicente Faus Felipe.
• Jose Javier Arenas Villafranca is Hospital Pharmacy Resident; Araceli Gómez Sánchez is Pharmacist; Miriam Nieto Guindo, BCPS, is Pharmacist; and Vicente Faus Felipe, Pharm.D., is Director of Pharmacy, Pharmacy Service, Costa del Sol Hospital, Marbella (Málaga), Spain. jjavier.arenas@gmail.com.
• Am J Health Syst Pharm. 2014 Jul 15; 71 (14): 1210-8.

PurposeFailure mode and effects analysis (FMEA) was used to identify potential errors and to enable the implementation of measures to improve the safety of neonatal parenteral nutrition (PN).MethodsFMEA was used to analyze the preparation and dispensing of neonatal PN from the perspective of the pharmacy service in a general hospital. A process diagram was drafted, illustrating the different phases of the neonatal PN process. Next, the failures that could occur in each of these phases were compiled and cataloged, and a questionnaire was developed in which respondents were asked to rate the following aspects of each error: incidence, detectability, and severity. The highest scoring failures were considered high risk and identified as priority areas for improvements to be made.ResultsThe evaluation process detected a total of 82 possible failures. Among the phases with the highest number of possible errors were transcription of the medical order, formulation of the PN, and preparation of material for the formulation. After the classification of these 82 possible failures and of their relative importance, a checklist was developed to achieve greater control in the error-detection process. FMEA demonstrated that use of the checklist reduced the level of risk and improved the detectability of errors.ConclusionFMEA was useful for detecting medication errors in the PN preparation process and enabling corrective measures to be taken. A checklist was developed to reduce errors in the most critical aspects of the process.Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

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