Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations

Article Article scientifique Article Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations eng 2021-04-08 2021-11-29 author Schumacher Laurence 0000-0001-9741-4872 661316 author Berthaudin-Gothuey Florian 657238 Florian Berthaudin author Blanc Anne-Laure author Blatrie Cédric author Staines Anthony author Bonnabry Pascal 21883 author Widmer Nicolas 0000-0001-7392-2418 604325 10.1136/ejhpharm-2020-002619 33832916 0939-9437 PMC8640418 https://ejhp.bmj.com/content/28/e1/e171.info Objectives: To ensure patient safety and the preparedness of medication processes during hospital relocations and evacuations by using Failure Modes, Effects, and Criticality Analysis (FMECA). Methods: The relocation of six regional hospitals to a single building, resulting in 400 beds being moved, could be compared with an emergency evacuation. An FMECA was performed on the hospital group's internal medicine and intensive care units (IMU and ICU), examining how medication processes would be affected by a hospital relocation or evacuation. Results: We identified 59 hospital relocation and 68 evacuation failure modes. Failure modes were ranked based on their criticality index (CI; range 1-810). The higher the CI, the greater the patient-related risk. Average initial IMU and ICU hospital relocation CI scores were 160 (range 105-294) and 201 (range 125-343), respectively, subsequently reduced to 32 (-80%) and 49 (-76%) after mitigation measures. Average initial IMU and ICU evacuation CI scores were 319 (range 245-504) and 592 (range 441-810), respectively, subsequently reduced to 194 (-39%) and 282 (-52%). Most mitigation measures (17/22), such as for example checklists, could be implemented in both situations. Due to their unpredictable nature, five measures were specific to evacuation situations. Conclusions: This study highlights the value of using an FMECA on medication processes to anticipate potential negative impacts on patient safety during hospital relocations or evacuations. Preparation for a hospital relocation can provide useful knowledge and an opportunity to test mitigation measures that might prove useful in evacuations. Emergency medicine Facility design and construction Organization and administration Quality of health care Safety Dewey 615 31 Section des sciences pharmaceutiques 17 false 887 Pharmacie hospitalière et clinique European journal of hospital pharmacy 28 e1 4079801a-eeb9-4390-bdc2-49f11e1d81e4 Article (Published version) Restricted ejhpharm-2020-002619.full.pdf 835101 application/pdf restrictedAccess Faculté des sciences / Section des sciences pharmaceutiques

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations	European journal of hospital pharmacy			2021	193	0

Archive ouverte UNIGE

Berthaudin, Florian