Table 3 Number of failure modes identified for each step of the main process
Main process of dispensing | Number of identified failure modes | |
|---|---|---|
Team A (N = 48) | Team B (N = 42) | |
Pharmacist receives the prescription | 1 | 2 |
Pharmacist checks the prescription | 9 | 10 |
Pharmacist selects pre-packed medication packets with attached labels and writes instructions on them | 5 | 12 |
Pharmacist labels medication packing envelopes and fills medications to them | 13 | 9 |
Pharmacist dispenses medications with verbal instructions | 14 | 6 |
Pharmacist documents details of accountable medications dispensed | 6 | 3 |