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Title: Risks in Antibiotic Substitution Following Medicine Shortage: A Health-Care Failure Mode and Effect Analysis of Six European Hospitals.
[Yubero, Cristina Garcia; Horcajada, Laura Portillo] Univ Hosp Infanta Sofia, Hosp Pharm Dept, Madrid, Spain.
[Miljkovic, Nenad] Univ Belgrade, Inst Orthopaed Surg Banjica, Belgrade, Serbia.
[Godman, Brian] Karolinska Univ Hosp, Karolinska Inst, Div Clin Pharmacol, Stockholm, Sweden. [Godman, Brian] Strathclyde Univ, Strathclyde Inst Pharm & Biomed Sci, Glasgow, Lanark, Scotland. [Godman, Brian] Sefako Makgatho Hlth Sci Univ, Sch Pharm, Dept Publ Hlth & Management, Pretoria, South Africa. [van Overbeeke, Eline; Huys, Isabelle] Katholieke Univ Leuven, Clin Pharmacol & Pharmacotherapy, Leuven, Belgium. [Kovacevic, Milena; Miljkovic, Branislava] Univ Belgrade, Dept Pharmacokinet & Clin Pharm, Belgrade, Serbia. [Tsiakitzis, Karyofyllis; Apatsidou, Athina; Nikopoulou, Anna] Gen Hosp Thessaloniki G Papanikolaou, Hosp Pharm Dept, Thessaloniki, Greece. [Yubero, Cristina Garcia; Horcajada, Laura Portillo] Univ Hosp Infanta Sofia, Hosp Pharm Dept, Madrid, Spain. [Stemer, Gunar] Vienna Gen Hosp, Gunar Sterner Med Informat & Clin Pharm Serv, Vienna, Austria. [Kuruc-Poje, Darija] Gen Hosp Dr Tomislav Bardek, Hosp Pharm Dept, Koprivnica, Croatia. [De Rijdt, Thomas] Univ Hosp Leuven, Pharm Dept, UZ Herestr, Leuven, Belgium. [Bochenek, Tomasz] Jagiellonian Univ, Dept Drug Management, Med Coll, Fac Hlth Sci, Krakow, Poland.
Issue Date: 12-May-2020
Citation: Front Med (Lausanne). 2020;7:157
Abstract: Introduction: Medicine shortages result in great risk for the continuity of patient care especially for antimicrobial treatment, potentially enhancing resistance rates and having a higher economic impact. This study aims to identify, describe, assess, and assign risk priority levels to potential failures following substitution of antimicrobial treatment due to shortages among European hospitals. Furthermore, the study investigated the impact of corrective actions on risk reduction so as to provide guidance and improve future patient care. Methods: Health-care failure mode and effect analysis (HFMEA) was applied to hospitals in Austria (H-AT), Belgium (H-BE), Croatia (H-CR), Greece (H-GR), Spain (H-SP), and Serbia (H-SR). Multidisciplinary teams identified processes, failure modes, causes, and corrective actions related to antibiotic substitution following medicine shortages. Characteristics of study hospitals as well as severity, probability, and hazard scores (HSs) of failure modes/causes were analyzed using Microsoft Office Excel 2010 and IBM SPSS Statistics® via descriptive and inferential statistics. Results: Through HFMEA, 74 failure modes were identified, with 53 of these scoring 8 or above on the basis of assigned severity and probability for a failure. Severity of failure modes differed before and after corrective actions in H-CR, H-GR, and H-SR (p
PMID: 32478082
Rights: openAccess
ISSN: 2296-858X
Appears in Collections:Fundaciones e Institutos de Investigación > FIIB H. U. Infanta Sofía y H. U. Henares > Artículos
Hospitales > H. U. Infanta Sofía > Artículos

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