Score Boarding Medication Risk with FMEA
Apply FMEA severity, occurrence, and detection thinking to a boarding medication process.
A boarding medication process allowed a missed evening dose because patient identity, storage, and administration checks were too dependent on memory. FMEA prioritizes failure modes by severity, occurrence, and detection so the team fixes the highest-risk weakness first. The common trap is fixing only the event that just happened. A missed thyroid dose matters, but the same workflow may hide a higher-severity insulin storage or administration risk. Before Medication bins are labeled by pet name, handwritten instructions vary, and the evening kennel assistant signs the sheet after rounds from memory. After High-risk medications get red tags at intake, refrigerated medications…
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