Abstract:
OBJECTIVES:To identify risks associated with delivery of treatment with oral antineoplastic agents in an outpatient setting and to evaluate additional value and feasibility of engaging patients in a proactive risk analysis. METHODS:We conducted 2 separate but parallel failure mode and effects analyses (FMEAs) among patients and health care professionals (HCPs) at a clinical oncology department in Denmark. Comparative analyses were performed using the FMEA process maps and risk priority numbers (RPNs) as main outcome measures. The FMEAs were augmented by semistructured interviews with HCPs and patients on acceptability and feasibility of FMEAs analyzed using systematic text condensation. RESULTS:Patients and HCPs found failures in information regarding treatment (cause, aim, and plan) to be of high risk. Also, HCPs found failures in checking for potential interactions to be of high risk. HCPs focused on the in-hospitals procedures, whereas patients identified risks related to both the hospital and the home setting. Both HCPs and patients found participation in the FMEA process meaningful but found the use of RPNs difficult. CONCLUSIONS:Patient engagement in proactive risk analysis using FMEA is acceptable, meaningful, and feasible, with patients providing a different perspective on the risks associated with oral antineoplastic treatment compared with HCPs.
journal_name
Qual Manag Health Carejournal_title
Quality management in health careauthors
Mattsson TO,Lipczak H,Pottegård Adoi
10.1097/QMH.0000000000000199subject
Has Abstractpub_date
2019-01-01 00:00:00pages
33-38issue
1eissn
1063-8628issn
1550-5154pii
00019514-201901000-00005journal_volume
28pub_type
杂志文章abstract::Many hospitals are unable to successfully implement evidence-based practices. For example, implementation of the central line bundle (CLB), proven to prevent catheter-related bloodstream infections (CRBSIs), is often challenging. This problem is broadly characterized as a "change implementation failure." A prospective...
journal_title:Quality management in health care
pub_type: 杂志文章,多中心研究
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journal_title:Quality management in health care
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doi:
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journal_title:Quality management in health care
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journal_title:Quality management in health care
pub_type: 杂志文章,多中心研究
doi:10.1097/QMH.0b013e318222a3b0
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/QMH.0000000000000075
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journal_title:Quality management in health care
pub_type: 杂志文章
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/00019514-200009010-00005
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/00019514-199807010-00004
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/QMH.0000000000000162
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/00019514-200008040-00002
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:
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journal_title:Quality management in health care
pub_type: 历史文章,杂志文章
doi:10.1097/QMH.0b013e3181ccbd07
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/00019514-200008030-00004
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/00019514-200110010-00006
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journal_title:Quality management in health care
pub_type: 杂志文章
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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journal_title:Quality management in health care
pub_type: 杂志文章
doi:10.1097/01.QMH.0000308640.89602.b1
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journal_title:Quality management in health care
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journal_title:Quality management in health care
pub_type: 杂志文章
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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journal_title:Quality management in health care
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