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Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3182a61555

Use of Healthcare Failure Mode and Effect Analysis (HFMEA) to Quantify Risks of the Human Milk Feeding Process

Zhang, Beilei (Belinda) PhD, MHA; LaFleur, Elizabeth A. BSN, RN, IBCLC, RLC; Ballweg, Diane D. MSN, RN, CCNS, RNC-NIC; Mulholland, Kristi L. BSN, RN, RNC-NIC; Wild, Jodi A. MSN, RN; Shedenhelm, Heidi J. MSN, RN, NE-BC; Stirn, Susan L. MSN, RN, NEA-BC; Gannon, Janet L. MA; Fjerstad, Kelly A. MSN/MBA, RN; Morgenthaler, Timothy I. MD

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The complexity of the expressed breast milk feeding process in the neonatal intensive care unit was not fully appreciated until we used a healthcare failure mode and effect analysis. This approach identified latent risks and provided semiquantitative estimates of the effectiveness of recommendations. Findings demonstrated nursing interruptions and multitasking requirements contributed to risk, emphasizing the need for focused and isolated expressed breast milk handling to improve patient safety and outcomes.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


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