Application of failure mode and effect analysis in risk management of the entire insulin deployment in PIVAS
LIU Lijie
ZHAO Wenjun
SONG Aimei
LI Xiangcheng
GAO Ping
LENG Ping
Abstract：Objective:To strengthen the risk management of the entire insulin deployment in PIVAS.Methods:To conduct the hospital failure mode and effect analysis(HFMEA)in the complete process of insulin deployment in PIVAS.Select failure modes with medium and above risk levels,sort out and analyze their failure causes,propose rectification measures,and perform HFMEA again on each failure mode after rectification.Results:In the whole process of PIVAS insulin deployment,17 failure modes of high and medium risk levels were selected,and rectifications were made from several major aspects,such as processes,HIS system,and quality control management.After intervention,the total RPN value of the 17 failure modes decreased from 1 080 to 356,which was a decrease of 67.0%.Conclusion:Applying HFMEA to the risk management of PIVAS insulin throughout the entire process can effectively improve the safety of insulin deployment,and strengthen the risk management of PIVAS insulin deployment throughout the entire process.
Keywords：insulinhospital failure mode and effects analysispharmacy intravenous admixture service
Publication Date：2025-06-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 2201-2206 )