Design of Failure Mode and Effect Analysis for Outpatient Pharmacy Dispensing Process

• Main Authors: LIU,CHIH-YUN, 劉芷妘
• Other Authors: PAN, CHUNG-YU
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/5aj8ap

碩士 === 東海大學 === 工業工程與經營資訊學系 === 105 === In recent years, medication safety is one of the issues in the medical services. However, either government or medical institution focuses on the remedy for medication safety, instead of medication process. Therefore, if an approach of proactive or predictable tool for a risk assessment tool, it should be helpful to improve medication safety and quality. In this study, Failure Mode and Effect Analysis (FMEA) is applied as the framework in outpatient pharmacy dispensing process. Outlines were developed to interview selected pharmacists and the contents were texted in order to find out keywords of steps and processes that the pharmacists mentioned. Items summarized for the failure modes are Three Reads and Five Rights of medicine administration, special medicines’ dispensing, medicine change information, bags’ binding methods, usage of barcode system, and replenishment in the dispensing counter. It is shown that items emphasized in medicine dispensing process are similar, but the degree of cognition is different from seniority and experience of pharmacists. The result of this study can be expended to assess indicators of severity (S), occurrence degree (O) and difficult index (D) to calculate the Risk Priority Number (RPN). Furthermore, scores of RPN can be used as items of new staff training programs as well as precedence of the administration of improvement.