Design high-alert controls before heroics
Explain how FMEA helps design safeguards for high-alert medication work.
The move: predict the failure before it reaches the patient. Failure Mode and Effects Analysis asks three practical questions: how could this step fail, what would happen if it did, and what control would reduce the risk? It is especially useful when the consequence of a mistake is high. High-alert does not mean frequent error High-alert medications are dangerous because the harm from error can be severe. That means the manager cannot rely only on recent incident counts. A clean month does not prove the control is strong; it may only mean the failure has not lined up yet. Strong…
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