Reference no: EM133139649 , Length: word count:3000

ESSAY

An accident has occurred because of the wrong administration of a chemotherapy drug to a patient. This wrong route (intrathecally instead of intravenously) has provoked the death of the patient. The hospital administration would like to prepare a risk management plan for this chemotherapy drug which should be administered intravenously and not intrathecally.

As a Quality facilitator, you are asked to prepare a literature review to propose a quality management approach to avoid the wrong administration of chemotherapy.

Develop a root-cause analysis: discuss the major causes behind medication errors and the causes behind the wrong way of drug administration (Intrathecally instead of Intravenously).
To summarize your findings please propose two Ishikawa diagrams:
• one for causes which lead to the medication's errors
• one for specific causes which lead to a wrong administration of a chemotherapy

Present the method: Failure Mode and Effect Analysis (FMEA):
• Explain how the FMEA, as a proactive method, can be useful to analyse the risks and identify potential failures before they happen.
• Propose a risk management plan including preventive measures.
• Propose maps showing the workflow of: Patient reception chemotherapy drug preparation and administration to the patient.
• Propose general quality improvement tools for the department.

word limit (3000)