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A prospective risk assessment of informal carers’ medication administration errors within the domiciliary setting

A prospective risk assessment of informal carers’ medication administration errors within the domiciliary setting
A prospective risk assessment of informal carers’ medication administration errors within the domiciliary setting
Increasingly, medication is being administered at home by family and friends of the care-recipient. This study aims to identify and analyse risks associated with potential drug administration errors made by informal carers at home. We mapped medication administration at home with a multidisciplinary team that included carers, healthcare professionals and patients. Evidence-based risk-analysis methodologies were applied: Healthcare Failure Modes and Effect Analysis (HFMEA), Systematic Human Error Reduction and Prediction Analysis (SHERPA) and Systems-Theoretic Accident Model and Processes (STAMP). The process of administration comprises seven sub-processes. Thirty-four possible failure modes were identified and six of these were rated as high risk. These highlighted that medications may be given with a wrong dose, stored incorrectly, not discontinued as instructed, not recorded, or not ordered on time, and often caused by communication and support problems. Combined risk analyses contributed unique information helpful to better understand the medication administration risks and causes within homecare.
1366-5847
Parand, Anam
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Faiella, Guiliana
099607aa-a232-453f-b165-450be3b69cc2
Dean Franklin, Bryony
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Johnston, Maximilian
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Clemente, Fabriozo
be5a1c23-03be-44c4-a98f-6516c277938d
Stanton, Neville A.
351a44ab-09a0-422a-a738-01df1fe0fadd
Sevdalis, Nick
417f0dea-baea-43fd-92f9-0f12ea8edcf4
Parand, Anam
a3ebcea8-6140-4f78-963c-5145e83230c7
Faiella, Guiliana
099607aa-a232-453f-b165-450be3b69cc2
Dean Franklin, Bryony
79359887-1bcb-4424-ab1b-274855d81b98
Johnston, Maximilian
b31a0793-aad4-4a53-80a5-4cb6af2f46c8
Clemente, Fabriozo
be5a1c23-03be-44c4-a98f-6516c277938d
Stanton, Neville A.
351a44ab-09a0-422a-a738-01df1fe0fadd
Sevdalis, Nick
417f0dea-baea-43fd-92f9-0f12ea8edcf4

Parand, Anam, Faiella, Guiliana, Dean Franklin, Bryony, Johnston, Maximilian, Clemente, Fabriozo, Stanton, Neville A. and Sevdalis, Nick (2017) A prospective risk assessment of informal carers’ medication administration errors within the domiciliary setting. Ergonomics. (doi:10.1080/00140139.2017.1330491).

Record type: Article

Abstract

Increasingly, medication is being administered at home by family and friends of the care-recipient. This study aims to identify and analyse risks associated with potential drug administration errors made by informal carers at home. We mapped medication administration at home with a multidisciplinary team that included carers, healthcare professionals and patients. Evidence-based risk-analysis methodologies were applied: Healthcare Failure Modes and Effect Analysis (HFMEA), Systematic Human Error Reduction and Prediction Analysis (SHERPA) and Systems-Theoretic Accident Model and Processes (STAMP). The process of administration comprises seven sub-processes. Thirty-four possible failure modes were identified and six of these were rated as high risk. These highlighted that medications may be given with a wrong dose, stored incorrectly, not discontinued as instructed, not recorded, or not ordered on time, and often caused by communication and support problems. Combined risk analyses contributed unique information helpful to better understand the medication administration risks and causes within homecare.

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Accepted/In Press date: 9 May 2017
e-pub ahead of print date: 12 May 2017
Organisations: Transportation Group, Southampton Marine & Maritime Institute

Identifiers

Local EPrints ID: 409828
URI: http://eprints.soton.ac.uk/id/eprint/409828
ISSN: 1366-5847
PURE UUID: 79820dc6-caa6-4e98-bbdc-847c506fdf20
ORCID for Neville A. Stanton: ORCID iD orcid.org/0000-0002-8562-3279

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Date deposited: 01 Jun 2017 04:08
Last modified: 18 Feb 2021 17:13

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Contributors

Author: Anam Parand
Author: Guiliana Faiella
Author: Bryony Dean Franklin
Author: Maximilian Johnston
Author: Fabriozo Clemente
Author: Nick Sevdalis

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