An Experience Feedback Committee for Improving Medication Process Safety: An Observational Study in a Hospital Pharmacy Department

Caporossi, Alban; Brudieu, É.; Lehmann, Audrey; Seigneurin, Arnaud; François, Patrice

doi:10.4172/2376-0419.s1-010

Cited by 4 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The hospital’s central risk management system was described elsewhere. [ 12 ] Adverse and near-miss events are reported to a central safety unit using a voluntary internal reporting system based on a standardised reporting form. This unit is made up of one medical doctor, one pharmacist and one quality engineer.…”

Section: Methodsmentioning

confidence: 99%

“…We used the data collection method previously described elsewhere. [ 12 ] All written documents produced by the EFC during a 1-year period before the inclusion were analysed. These documents included meeting minutes, event reports, event analysis reports, and all documents related to corrective actions decided by the EFC.…”

Section: Methodsmentioning

confidence: 99%

“…[ 9 ] Moreover, several studies have reported promising adherence of medical teams involved in EFC in emergency, psychiatry and pharmacy departments. [ 10 – 12 ] However, these studies identified several limitations related to the initial EFC framework. Despite its wide implementation in the French healthcare system, the functioning of the EFC program has never been evaluated at the level of an entire hospital.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical departments

et al. 2018

Self Cite

View full text Add to dashboard Cite

BackgroundThe experience feedback committee (EFC) is a tool designed to involve medical teams in patient safety management, through root cause analysis (RCA) within the team.ObjectivesTo investigate the functioning of EFCs in the departments of a large university-affiliated hospital in France and to consider its potential contribution to the management of patient safety.MethodsCross-sectional, observational study, based on an analysis of the documents produced by the EFCs for 1 year. Data were collected independently by two investigators in meeting minutes, adverse event reports and event analysis reports.ResultsThe study included all 20 EFCs operating in the hospital's medical departments. During the study year, committees held 164 meetings, reviewed 1707 adverse events, conducted 91 event analyses and decided on 206 corrective actions. The median number of corrective actions adopted by each EFC was five actions (range, 0–62). A root cause analysis (RCA) was present in 76% of the analysis reports, and these analyses were complete in only 23% of the reports. There was also a lack of planning corrective actions: an implementation deadline was only defined in 26% of the actions.ConclusionsHealthcare professionals adhered to the system-based approach to patient safety, but we observed difficulties in holding regular meetings and deviations from the theoretical framework. These findings confirm the difficulties of practicing RCA in the healthcare setting. Nevertheless, EFCs can be vectors of safety culture and teamwork.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical departments

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…ADEs may result from medication errors or adverse drug reactions in which there was no error [14]. ADEs consequences can be substantial, including hospital admission, prolonged hospital stay, additional resource utilization, and lower patient satisfaction [23].…”

Section: B Medication Error and Adverse Drug Eventmentioning

confidence: 99%

Towards a novel spontaneous medication error reporting tool for enhancing patient safety

Thabet

Lamine

Cleostrate

et al. 2022

2022 IEEE/ACS 19th International Conference on Computer Systems and Applications (AICCSA)

View full text Add to dashboard Cite

Improving patient safety and quality of care has become a priority for healthcare organizations, given the frequency and potential severe clinical consequences of medication errors and adverse drug events during the Medication-use Process. Medication error reporting can be one most effective strategies to achieve these goals. Indeed, high error reporting rates indicate a positive safety culture rather than an unsafe healthcare environment. It is through the identification of these errors safety barriers can be put in place to prevent a similar event from occurring in the future. However, current healthcare organizations still suffer from a lack of attention in this context, especially in establishing a digital tool dedicated to medication error reporting, which is the motivation for the work described in this paper. The latter proposes a novel tool to make the local reporting of medication errors easier and encourage reporting these errors with the healthcare professionals' confidentially. The overall response to the tool provided was positive from the staff participating.

show abstract

“…Adverse drug events may result from medication errors or from adverse drug reactions in which there was no error (Bates et al, 1995). ADEs consequences can be substantial, including hospital admission, prolonged hospital stay, additional resource utilization, and lower patient satisfaction (Caporossi et al, 2014). In this context, many publications have described the frequency and the cost of MEs and ADEs in the MUP (Bates, 2007).…”

Section: Introductionmentioning

confidence: 99%

AdoBPRIM: Towards a New Healthcare Risk-aware Business Process Management Tool

Thabet

Boufaied

Lamine

et al. 2020

Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies

View full text Add to dashboard Cite

Performing risk management in healthcare facilities is particularly difficult due to the highly dynamic, complex, and multi-disciplinary nature of healthcare processes like the Medication Use Process (MUP). Risk-aware Business Process Management (R-BPM) is a promising approach to obtain a better understanding of such processes by identifying and analyzing corresponding risks. However, not all R-BPM approaches perform well in capturing the complexity of clinical processes. In this work, we introduce a new R-BPM framework called BPRIM that allows the identification and the analysis of medication error risks related to the complex medication use process. BPRIM is implemented using the ADOxx meta-modelling platform and then tested in a real case study. The tool is specific to the case study, but the framework can be used also in other healthcare processes.

show abstract

An Experience Feedback Committee for Improving Medication Process Safety: An Observational Study in a Hospital Pharmacy Department

Cited by 4 publications

References 27 publications

Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical departments

Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical departments

Towards a novel spontaneous medication error reporting tool for enhancing patient safety

AdoBPRIM: Towards a New Healthcare Risk-aware Business Process Management Tool

Contact Info

Product

Resources

About