Number of process steps and failure modes identified in paediatric medication use multiple failure mode and effect analyses (FMEAs)
| Paediatric units and process phases | Process steps | Total failure modes | High-risk failure modes before FMEA | RPNs1 | High-risk failure modes after FMEA | RPNs2 |
|---|---|---|---|---|---|---|
| N° (%) | N° (%) | N° (%) | N° (%) | |||
| NICU | ||||||
| Supplying | 25 (29.4) | 47 (23.0) | 0 | |||
| Prescribing | 18 (21.2) | 44 (21.6) | 5 (62.5) | 320 | 2 (25) | 144 |
| Preparation | 22 (25.9) | 41 (20.1) | 3 (37.5) | 208 | 2 (25) | 56 |
| Administering | 15 (17.6) | 44 (21.6) | 0 | |||
| Monitoring | 5 (5.9) | 28 (13.7) | 0 | |||
| Total | 85 | 204 | 8 | 496 | 4 (50) | 200 |
| PICU | ||||||
| Supplying | 20 (26.3) | 37 (22.7) | 0 | |||
| Prescribing | 22 (28.9) | 49 (30.1) | 7 (87.5) | 420 | 4 | 140 |
| Preparation | 15 (19.7) | 26 (16.0) | 1 (14.39 | 48 | 0 | 1 |
| Administering | 13 (17.1) | 32 (19.6) | 0 | |||
| Monitoring | 6 (7.9) | 19 (11.7) | 0 | |||
| Total | 76 | 163 | 8 | 468 | 4 (50) | 151 |
| Acute care | ||||||
| Supplying | 27 (29.7) | 37 (22.7) | 0 | |||
| Prescribing | 30 (33.0) | 49 (30.1) | 6 (66.7) | 270 | 0 | 120 |
| Preparation | 15 (16.5) | 26 (16.0) | 2 (22.2) | 93 | 1 | 48 |
| Administering | 13 (14.3) | 32 (19.6) | 0 | |||
| Monitoring | 6 (6.6) | 19 (11.7) | 1 (11.1) | 45 | 0 | 20 |
| Total | 91 | 163 | 9 | 408 | 1 | 188 |
| Onco-haematology | ||||||
| Supplying | 9 (18.8) | 14 (15.5) | 0 | |||
| Prescribing | 12 (25.0) | 23 (25.5) | 6 (100) | 288 | 2 | 124 |
| Preparation | 17 (35.4) | 27 (30.0) | 0 | |||
| Administering | 12 (25.0) | 18 (20) | 0 | |||
| Monitoring | 3 (6.3) | 8 (8.8) | 0 | |||
| Total | 53 | 90 | 6 | 288 | 2 | 124 |
| General Ped | ||||||
| Supplying | 14 (27.5) | 25 (30.4) | 4 (66.7) | 177 | 1 | 66 |
| Prescribing | 9 (17.6) | 14 (17.0) | 1 (16.7) | 48 | 1 | 24 |
| Preparation | 19 (37.3) | 27 (32.9) | ||||
| Administering | 6 (11.8) | 11 (13.4) | 1 (16.7) | 48 | 1 | 24 |
| Monitoring | 3 (5.9) | 5 (6.0) | ||||
| Total | 51 | 82 | 6 | 273 | 3 | 114 |
RPNs1: original process-RPNs2 modified process.
General Ped, general paediatric ward; NICU, neonatal intensive care unit; PICU, paediatric intensive care unit; RPN, risk priority number.