Use of Failure Mode and Effect Analysis (FMEA) to reduce risk of medication errors in medication delivery service in outpatient oncology pharmacy.
Care Continuum
Care Process & Redesign
Singapore Healthcare Management Congress
SingHealth
31 December 2021
Reduce medication errors in oncology pharmacy through Failure Mode and Effect Analysis (FMEA). FMEA successfully minimized risks in MDS; 5S methods ensured sustainable improvements.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Care Continuum, Value Based Care, Safe Care, Risk Management, Preventive Approach, Outpatient Care, Specialist Outpatient Care
About this Content
Aims
Reduce medication errors in oncology pharmacy through Failure Mode and Effect Analysis (FMEA).
Background
MDS adoption during COVID-19 posed risks of medication errors due to process gaps and high demand.
Methods
FMEA to identify high-risk processes; 5S lean principles for corrective measures; iterative PDSA cycles.
Results
Significant reduction in near misses; 38 corrective measures devised; improved staff feedback and process efficiency.
Conclusion
FMEA successfully minimized risks in MDS; 5S methods ensured sustainable improvements.
Lessons Learnt
Proactive risk analysis and systematic correction improve patient safety and workflow in medication delivery.
Additional Information
SHM 2021 – 1st Prize (Risk Management Category).
Keywords
FMEA, Medication Safety, Oncology, Risk Management
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | National Cancer Centre Singapore |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical, Pharmacy |
Applicable Specialty or Discipline | Oncology, Pharmacology |
Project Lead(s) | Caroline Liow Jia Li |
Project Member(s) | Vincent Ngo Kang Hao |
Connect with this contributor!
Vincent Ngo Kang Hao - singaporehealthcaremanagement@singhealth.com.sg
Project Attachment
C504_NCCS_SHM_2021_Use_of_Failure_Mode_and_Effect_Analysis_FMEA.pdf