Using Probablilistic Risk Assessment to Model Medication System Failures in Long-Term Care Facilities

Abstract

Objective: State agencies and Oregon's long-term care providers cosponsored this developmental study to explore the creation of two statewide medication system risk models using sociotechnical probabilistic risk assessment (ST-PRA). This paper summarizes the methodology involved in this ongoing project. Methods: A convenience sample of 18 facilities participated. Seven multidisciplinary modeling teams used process mapping, control system mapping, modified failure modes and effects analysis, and ST-PRA to create consolidated ST-PRA models, one for nursing facilities and one for community-based care (CBC) i.e., residential care/assisted living facilities. Discussion: The models provide contextual maps of the errors and behaviors that lead to medication delivery system failures, including unanticipated risks associated with regulatory practices and common deviations from policies and procedures. Policymakers, regulators, and managers can identify, prioritize, and prospectively model risk reduction interventions using ST-PRA. Conclusion: ST-PRA models can identify systemic and behavioral elements that increase or reduce the risk of wrong-drug, wrong-dose, omitted-dose or drug, and wrong-patient medication administration errors in nursing and CBC facilities.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2005
Accession Number
ADA434054

Entities

People

  • David Marx
  • Margaret Murphy-carley
  • Misti Hale
  • Sharon C. Comden

Organizations

  • United States Agency for Healthcare Research and Quality

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Business Administration
  • Control Systems
  • Drug Therapy
  • Failure Mode And Effect Analysis
  • Health
  • Health Care
  • Health Services
  • Law
  • Pharmacies
  • Public Health
  • Regulators
  • Risk
  • Risk Analysis
  • Risk Management
  • Safety
  • Safety Engineering

Fields of Study

  • Medicine

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