Trauma Monthly

Published by: Kowsar

Assessing Common Medical Errors in a Children’s Hospital NICU Using Failure Mode and Effects Analysis (FMEA)

Khalil Alimohammadzadeh 1 , 2 , Mohammadkarim Bahadori 3 , * , Tahereh Jahangir 4 and Ramin Ravangard 5
Authors Information
1 MD, PhD in Health Services Management, Associate Professor, Department of Health Services Management, Tehran North Branch, Islamic Azad University, Tehran, IR Iran
2 Health Economics Policy Research Center, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
3 PhD in Health Services Management, Associate Professor, Manager of Health Policy Department, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
4 MSc in Health Services Management, Department of Health Services Management, Tehran North Branch, Islamic Azad University, Tehran, IR Iran
5 PhD in Health Services Management, Assistant Professor, Health Human Resources Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran
Article information
  • Trauma Monthly: September 2017, 22 (5); e15845
  • Published Online: August 1, 2017
  • Article Type: Research Article
  • Received: October 10, 2016
  • Revised: February 19, 2017
  • Accepted: April 5, 2017
  • DOI: 10.5812/traumamon.15845

To Cite: Alimohammadzadeh K, Bahadori M, Jahangir T, Ravangard R. Assessing Common Medical Errors in a Children’s Hospital NICU Using Failure Mode and Effects Analysis (FMEA), Trauma Mon. 2017 ; 22(5):e15845. doi: 10.5812/traumamon.15845.

Copyright © 2017, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Hockenberry MJ, Wilson D, Rodgers CC. Wong's Essentials of Pediatric Nursing-E-Book. 2016;
  • 2. Bahadori M, Ravangard R, Alimohammadzadeh K, Hosseini SM. Plan and road map for health reform in Iran BMJ 2015; : 351: h4407
  • 3. Verklan MT. Core Curriculum for Neonatal Intensive Care Nursing. 2010;
  • 4. Carroll R. Managing risk in acute-care specialty units. 2011;
  • 5. Kusler-Jensen J, Weinfurter A. FMEA: An idea whose time has come. SSM-DENVER. 2003; 9(3): 30-7
  • 6. Spath PL. Using failure mode and effects analysis to improve patient safety. AORN J. 2003; 78(1): 16-37[PubMed]
  • 7. Dehkhoda N, Valizadeh S, Jodeiry B, Hosseini MB. The effects of an educational and supportive relactation program on weight gain of preterm infants. J Caring Sci. 2013; 2(2): 97-103[DOI][PubMed]
  • 8. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs. 2004; 19(6): 385-92[DOI][PubMed]
  • 9. Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001; 285(16): 2114-20[PubMed]
  • 10. Doshmangir L, Sari AA. Take the amount, nature and causes of adverse events and medical errors in Iran and world. J Hospital. 2008; 7(3): 45-8
  • 11. Karamali M, Amerion KJ. Risk management in hospital. J EDO Faculty Ann Emerg Med. 2009; 9(32): 9-15
  • 12. Handel DA, McConnell KJ. 222: Emergency Department Length of Stay and Predictive Demographic Characteristics. Ann Emerg Med. 2007; 50(3)[DOI]
  • 13. Tofighi S, Maleki M, Khoshgam M, AttarJannesar Nobari F. Using the prospective method "Failure Modes and Effect Analysis" To improve the triage process in emergency department. J Forensic Med. 2009; 15(3): 161-70
  • 14. Kunac DL, Reith DM. Identification of priorities for medication safety in neonatal intensive care. Drug Saf. 2005; 28(3): 251-61[PubMed]
  • 15. Vafaee Najar A, Ghane H, Ebrahimipour H, Nouri GA, Dadpour B. Identification of priorities for medication safety in the neonatal intensive care unit via failure mode and effect analysis. Iran J Neonatol IJN. 2016; 7(2): 28-34
  • 16. Khani-Jazani R, Molavi-Taleghani Y, Seyedin H, Vafaee-Najar A, Ebrahimipour H, Pourtaleb A. Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013). Iran J Pharm Res. 2015; 14(2): 495-504[PubMed]
  • 17. Gronkjær M, Curtis T, de Crespigny C, Delmar C. Analysing group interaction in focus group research: Impact on content and the role of the moderator. Qual Stud. 2011; 2(1): 16-30
  • 18. Nazari R, Haji Ahmadi M, Dadashzade M, Asgari P. Study of hand hygiene behavior among nurses in Critical Care Units. J Crit Care Nurs. 2011; 4(2): 93-6
  • 19. Attar Jannesar Nobari F, Yousefinezhadi T, Behzadi Goodari F, Arab M. Clinical Risk Assessment of Intensive Care Unit using Failure Mode and Effects Analysis. J Hospital. 2015; 14(2): 49-59
  • 20. Shams S, Haghi Ashtiani MT, Mohseni A, Irani H, Moradi Z, Tabatabai MA, et al. ate and causes of post-analytical errors in clinical laboratory of children’s medical center. Razi Journal of Medical Sciences. 2012; 19(96): 12-9
  • 21. Asefzadeh S. Hospital research Management. 2003;
  • 22. Arenas Villafranca JJ, Gomez Sanchez A, Nieto Guindo M, Faus Felipe V. Using failure mode and effects analysis to improve the safety of neonatal parenteral nutrition. Am J Health Syst Pharm. 2014; 71(14): 1210-8[DOI][PubMed]
  • 23. Dominici L, Nepomnayshy D, Brown T, O’Brien P, Alden D, Brams D. P113: Implementation of HFMEA in a bariatric surgery program improves the quality and culture of care. Surg Obes Relat Dis. 2006; 2(3): 346-7
  • 24. Weber S. Utilizing failure mode and effects analysis to examine the processes of patient identification and specimen labeling. 2006;
  • 25. Ravi Sankar N, Prabhu BS. Modified approach for prioritization of failures in a system failure mode and effects analysis. Int J Qual Reliabil Manag. 2001; 18(3): 324-36[DOI]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments