Application of Failure Modes and Effects Analysis (FMEA) Intervening in the Management of High Risk Medicine in Ward

OBJECTIVE　To promote the management quality of high risk medicine in ward and to ensure drug safety for patients. METHODS　Collecting the problems in the management of high risk medicine in ward, such as the problem about classified positioned display of injection, internal used medicine, external used medicine and deadly poisonous medicine, the problem about medicine storage without standards requested, the problem about the mark of high risk medicine, which a specific cabinet was appointed for and a person was specifically appointed to take care of, the problem about strict period of validity of medicin, etc. The quality and effect would be valued in twelve months with the participation of all the nurses. RESULTS The incidence of the high risk medicine, which was stored and displayed without standards requested, had been modified while drug expiration date was more concerned than ever, basing on the analysis in twelve months. The defective managing events of high risk medicine were reduced from 626 to 46 while the scores of risk priority number(RPN) decreased from top 900 to 216. CONCLUSION With the application of failure modes and effect analysis, it is effective to promote the management quality of high risk medicine and to ensure drug safety and prevent medical nursing risks.