Reducing medication errors using LSS Methodology: A systematic literature review and key findings

References

• Aboelmaged, M.G. (2010). Reconstructing six sigma barriers in manufacturing and service organizations: The effects of organizational parameters. International Journal for Quality & Reliability Management, 28(5), 519–541. doi: 10.1108/02656711111132562
   Google Scholar
• Aboumatar, H.J., Winner, L., Davis, R., Peterson, A., Hill, R., Frank, S., … Farmer, D. (2010). Applying Lean Sixma solutions to mistake-proof in Chemotherapy. The Joint Commission Journal on Quality and Patient Safety, 36(2), 79–86.
   PubMedGoogle Scholar
• Albiliwi, S., Antony, J., & Abdul Halim Lim, S. (2015). A systematic review of Lean Six Sigma for the manufacturing industry. Business Process Management Journal, 21(3), 665–691. doi: 10.1108/BPMJ-03-2014-0019
   Web of Science ®Google Scholar
• Albiliwi, S., Antony, J., Arshed, N., & Ghadge, A. (2017). Implemenation of Lean Six Sigma in Saudi Arabian organization: Findings from a survey. International Journal of Quality & Reliability Management, 34(4), 508–529.
   Web of Science ®Google Scholar
• Andersen, H., Røvik, K.A., & Ingebrigtsen, T. (2014). Lean thinking in hospitals: Is there a cure for the absence of evidence? A systematic review of reviews. BMJ Open, 4, 1–8. doi: 10.1136/bmjopen-2013-003873
   Web of Science ®Google Scholar
• Antony, J. (2004). Six sigma in the UK sevice organisations: Results from a pilot survey. Managerial Auditing Journal, 19(8), 1006–1013. doi: 10.1108/02686900410557908
   Google Scholar
• Antony, J., Antony, F., Kumar, M., & Rae Cho, B. (2007). Six sigma in service organisations: Benefits, challenges and difficulties, common myths. International Journal of Quality & Reliability Management, 24(3), 294–311.
   Google Scholar
• Antony, J., & Banuelas, R. (2002). Key ingredients for the effective implementation of Six Sigma program. Measuring Business Excellence, 6(4), 20–27.
   Google Scholar
• Arenas Villafranca, J.J., Gómez Sánchez, A., Nieto Guindo, M., & Faus Felipe, V. (2014). Using failure mode and effects analysis to improve the safety of neonatal parenteral nutrition. American Journal of Health-System Pharmacy, 71, 1210–1218. doi: 10.2146/ajhp130640
   PubMed Web of Science ®Google Scholar
• Ashley, L., Dexter, R., Marshall, F., McKenzie, B., Ryan, M., & Armitage, G. (2011). Improving the safety of chemotherapy administration: An oncology nurse-led failure mode and effects analysis. Oncology Nursing Forumursing Forum, 38(6), E436–E444. doi: 10.1188/11.ONF.E436-E444
   PubMed Web of Science ®Google Scholar
• Balaid, A., Abd Rozan, M.Z., Hikmi, S.N., & Memon, J. (2016). Knowledge maps: A systematic literature review and directions for future research. International Journal of Information Management, 36, 451–475.
   Web of Science ®Google Scholar
• Bañuelas, R., & Antony, J. (2003). Going from Six Sigma to design for Six Sigma: An exploratory study using analytic hierarchy process. The TQM Magazine, 15(5), 334–344. doi: 10.1108/09544780310487730
   Google Scholar
• Banuelas Coronado, R., & Antony, J. (2002). Critical success factors for the successful implementation of six sigma projects in organisations. The TQM magazine, 14(2), 92–99.
   Google Scholar
• Benitez, Y., Forrester, L., Hurst, C., & Turpin, D. (2007). Hospital reduces medication errors using DMAIC and QFD. Quality Progress, 40(1), 38–45.
   Google Scholar
• Bhat, S., Gijo, E.V., & Jnanesh, N.A. (2014). Application of Lean Six Sigma methodology in the registration process of a hospital. International Journal of Productivity and Performance Management, 63(5), 613–643. doi: 10.1108/IJPPM-11-2013-0191
   Google Scholar
• Bhat, S., Gijo, E.V., & Jnanesh, N.A. (2016). Productivity and performance improvement in the medical records department of a hospital. International Journal of Productivity and Performance Management, 65(1), 98–125.
   Web of Science ®Google Scholar
• Brown, A., Eatock, J., Dixon, D., Meenan, B.J., & Anderson, J. (2008). Quality and continuous improvement in medical device manufacturing. The TQM Magazine, 20(6), 1754–2731. doi: 10.1108/17542730810909329
   Google Scholar
• Burns, D.K., Jones, A.P., & Suhrcke, M. (2016). The relationship between international trade and non-nutritional health outcomes: A systematic review of quantitative studies. Social Science & Medicine, 152, 9–17.
   PubMed Web of Science ®Google Scholar
• Buttigiet, S.C., Gauci, D., & Dey, P. (2016). Countinuous improvement in a Maltese hosptital using logical framework analysis. Journal of Health Organization and Management, 30(7), 1026–1046. doi: 10.1108/JHOM-11-2015-0185
   PubMedGoogle Scholar
• Carlborg, P., Kindström, D., & Kowalkowski, C. (2013). A lean approach for service productivity improvements: Synergy or oxymoron? Managing Service Quality: An International Journal, 23(4), 291–304. doi: 10.1108/MSQ-04-2013-0052
   Google Scholar
• Castle, L., Franzblau-Isaac, E., & Paulsen, J. (2005). Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Journal on Quality and Patient Safety, 31(6), 319–324.
   PubMedGoogle Scholar
• Chan, A.L.F. (2004). Use of six sigma to improve pharmacist dispensing errors at outpatient clinic. American Journal of Medical Quality, 19(3), 128–131.
   PubMed Web of Science ®Google Scholar
• Ching, J.M., Long, C., Williams, B.L., & Blackmore, C.C. (2013). Using lean to improve medication administration safety: In search of the “perfect dose”. The Joint Commission Journal on Quality and Patient Safety, 39(5), 195–204. doi: 10.1016/S1553-7250(13)39026-6
   PubMedGoogle Scholar
• Chumchit, C., Amrumpai, Y., & Treesak, C. (2015). Recognition on medication safety and look-alike/sound-alike medication problems in Thai Public Hospitals. Silpakorn University Science and Technology Journal, 9(2), 40–51.
   Google Scholar
• Covenant Health. (2015). Medication safety: An overview. Retrieved from http://extcontent.covenanthealth.ca/Medication_Safety_An_Overview__2015_(MH)Version1_22apr15.et.pdf
   Google Scholar
• Crane, J., & Crane, F.G. (2006). Preventing medication errors in hospitals through a systems approach and technological innovation: A prescription for 2010. Hospital Topics, 84(4), 3–8. doi: 10.3200/HTPS.84.4.3-8
   PubMedGoogle Scholar
• Critchley, S. (2015). Improving medication administration safety in a community hospital setting using Lean methodology. Journal of Nursing Care Quality, 30(4), 345–351. doi: 10.1097/NCQ.0000000000000112
   PubMed Web of Science ®Google Scholar
• Deblois, S., & Lepanto, L. (2016). Lean and Six Sigma in acute care: A systematic review of reviews. International Journal of Health Care Quality Assurance, 29(2), 192–208. doi: 10.1108/09526860710819440
   PubMed Web of Science ®Google Scholar
• Denyer, D., & Tranfield, D. (2009). Producing a systematic review. In D. Buchanan & A. Bryman (Eds.), The Sage handbook of organizational research methods (pp. 671–689). Thousand Oaks, CA: Sage Publications.
   Google Scholar
• Desai, D.A., Antony, J., & Patel, M.B. (2012). An assessment of the critical success factors for Six Sigma implementation in Indian industries. International Journal of Productivity and Performance Management, 61(4), 426–444. doi: 10.1108/17410401211212670
   Google Scholar
• Esimai, G. (2005). Lean six sigma reduces medication errors. Quality Progress, April, 51–57.
   Google Scholar
• Fisher, M., Norris, D., Camac, K., & Hawkshaw, B. (2001). A comparison of medication errors between two storage sites. Contemporary Nurse, 11(1), 55–59. doi: 10.5172/conu.11.1.55
   PubMedGoogle Scholar
• Gijo, E.V., & Antony, J. (2014). Reducing patient waiting time in outpatient department using Lean Six Sigma methodology. Quality and Reliability Engineering International, 30, 1481–1491. doi: 10.1002/qre.1552
   Web of Science ®Google Scholar
• Gijo, E.V., Antony, J., Hernandez, J., & Scaria, J. (2013). Reducing patient waiting time in a pathology department using the Six Sigma methodology. Leadership in Health Services, 26(4), 1751–1879. doi: 10.1108/LHS-02-2012-0004
   Google Scholar
• Hintzen, B.L., Knoer, S.J., Van Dyke, C.J., & Milavitz, B.S. (2009). Effect of lean process improvement techniques on a university hospital inpatient pharmacy. American Journal of Health-System Pharmacy, 66, 2042–2047.
   PubMed Web of Science ®Google Scholar
• Hussain, A., Steward, L.M., Rivers, P.A., & Muchus, G. (2015). Managerial process improvement: A lean approach to eliminating medication delivery. International Journal of Health Care Quality Assurance, 28(1), 55–63.
   PubMed Web of Science ®Google Scholar
• Kunac, D.L., & Reith, D.M. (2005). Identification of priorities for medication safety in neonatal intensive care. Drug Safety, 28(3), 251–261.
   PubMed Web of Science ®Google Scholar
• Lago, P., Bizzarri, G., Scalzotto, F., Parpaiola, A., Amigoni, A., Putoto, G., & Perilongo, G. (2012). Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: A quality improvement report. BMJ Open, 2, 1–9. doi: 10.1136/bmjopen-2012-001249
   Web of Science ®Google Scholar
• Laureani, A., & Antony, J. (2017a). Leadership and Lean Six Sigma: A systematic literature review. Total Qaulity Management & Business Excellence, 1–29. doi: 10.1080/14783363.2017.1288565
   Google Scholar
• Laureani, A., & Antony, J. (2017b). Leadership characteristics for Lean Six Sigma. Total Qaulity Management & Business Excellence, 1–29. doi: 10.1080/14783363.2015.1090291
   Google Scholar
• Luton, A., Bondurant, P.G., Campbell, A., Conkin, C., Hernandez, J., & Hurst, N. (2015). Got (the Right) milk? How a blended Quality Improvement approach catalyzed change. Advances in Neonatal Care, 15(5), 345–353. doi: 10.1097/ANC.0000000000000228
   PubMed Web of Science ®Google Scholar
• Manville, G., Greatbanks, R., Krishnasamy, R., & Parker, D.W. (2012). Critical success factors for Lean Six Sigma programmes: A view from middle management. International Journal of Quality & Reliability Management, 29(1), 7–20. doi: 10.1108/MRR-09-2015-0216
   Google Scholar
• Mason, S.E., Nicolay, C.R., & Darzi, A. (2015). The use of Lean and Six Sigma methodologies in surgery: A systematic review. The Surgeon, 13(2), 91–100.
   PubMed Web of Science ®Google Scholar
• Materla, T., Cudney, E.A., & Antony, J. (2017). The application of Kano model in the healthcare industry: A systematic literature review. Total Quality Management & Business Excellence. doi: 10.1080/14783363.2017.1328980
   Web of Science ®Google Scholar
• McNally, K.M., Page, M.A., & Sunderland, B.V. (1997). Failure-mode and effects analysis in improving a drug distribution system. American Journal of Health-System Pharmacy, 54, 171–177.
   PubMed Web of Science ®Google Scholar
• Moraros, J., Lemstra, M., & Nwankwo, C. (2016). Lean interventions in healthcare: Do they actually work? A systematic literature review. International Journal for Quality in Health Care, 28(2), 150–165. doi: 10.1093/intqhc/mzv123
   PubMed Web of Science ®Google Scholar
• Najar, A.V., Ghane, H., Ebrahimipour, H., Nouri, G.A., & Dadpour, B. (2016). Identification of priorities for medication safety in the neonatal intensive care unit via failure mode and effect analysis. Iranian Journal of Neonatology, 7(2), 28–34.
   Web of Science ®Google Scholar
• National Coordinating Council for Medication Error Reporting and Prevention. (2017). About Medication Errors. Retrieved from http://www.nccmerp.org/about-medication-errors
   Google Scholar
• Nayar, P., Ojha, D., Fetrick, A., & Nguyen, A.T. (2016). Applying lean six sigma to improve medication management . International Journal of Health Care Quality Assurance, 29(1), 16–23. doi: 10.1108/IJHCQA-02-2015-0020
   PubMed Web of Science ®Google Scholar
• Nonthaleerak, P., & Hendry, L. (2008). Study evidence Exploring the six sigma phenomenon using multiple case study evidence. International Journal of Operations & Production Managemen, 28(3), 279–303. doi: 10.1108/01443570810856198
   Web of Science ®Google Scholar
• Ozawa, S., & Sripad, P. (2013). How do you measure trust in the health system? A systematic review of the literature. Social Science & Medicine, 91, 10–14.
   PubMed Web of Science ®Google Scholar
• Pamfilie, R., Petcu, A.J., & Draghici, M. (2012). The importance of leadership in driving a strategic Lean Six Sigma management. Procedia- Social and Behavioral Science, 58, 187–196.
   Google Scholar
• Pande, P.S., Neuman, R.P., & Cavanagh, R.R. (2000). The Six Sigma way: How GE, Motorola, and other top companies are honing their performance. New York: McGraw-Hill.
   Google Scholar
• Pepper, M.P., & Spedding, T.A. (2010). The evolution of Lean Six Sigma. International Journal for Quality & Reliability Management, 27(2), 138–155. doi: 10.1108/02656711011014276
   Google Scholar
• Revere, L., & Black, K. (2003). Integrating Six Sigma with total quality management: a case example for measuring medication errors. Journal of Healthcare Management, 48(6), 377–391.
   PubMed Web of Science ®Google Scholar
• Riehle, M.A., Bergeron, D., & Hyrkäs, K. (2008). Improving process while changing practice: FMEA and medication administration. Nursing Management, 39(2), 28–33.
   PubMedGoogle Scholar
• Rodriguez-Gonzalez, C.G., Martin-Barbero, M.L., Herranz-Alonso, A., Durango-Limarquez, M.I., Hernandez-Sampelayo, P., & Sanjurjo-Saez, M. (2015). Use of failure mode, effect and criticality analysis to improve safety in the medication administration process. Journal of Evaluation in Clinical Practice, 21, 549–559. doi: 10.1111/jep.12314
   PubMed Web of Science ®Google Scholar
• Roy, V., Gupta, P., & Srivastava, S. (2005). Chapter - 14 Medication Errors : Causes & Prevention (pp. 60–64).
   Google Scholar
• Runciman, W.B., Roughead, E.E., Semple, S.J., & Adams, R.J. (2003). Adverse drug events and medication errors in Australia. International Journal for Quality in Health Care, 15, 49–60.
   PubMed Web of Science ®Google Scholar
• Salmasi, S., Khan, T.M., Hong, Y.H., & Ming, L.C. (2015). Medication errors in the Southeast Asian countries: A systematic review. Plos One, 10(9), 1–19. doi: 10.1371/journal.pone.0136545
   Web of Science ®Google Scholar
• Sharma, S., & Chetiya, A.R. (2010). Six Sigma project selection: An analysis of responsible factors. International Journal of Lean Six Sigma, 1(4), 280–292. doi: 10.1108/20401461011096069
   Google Scholar
• Sheridan-Leos, N., & Schulmeister, L. (2006). Failure mode and effect analysisTM. Clinical Journal of Oncology Nursing, 10(3), 393–398.
   PubMedGoogle Scholar
• Stefanacci, R.G., & Riddle, A. (2016). Preventing medication errors. Geriatric Nursing, 37(4), 307–310.
   PubMed Web of Science ®Google Scholar
• Teo, C.H., Ng, C.J., Booth, A., & White, A. (2016). Barriers and facilitators to health screening in men: A systematic review. Social Science and Medicine, 165, 168–176.
   PubMed Web of Science ®Google Scholar
• Torjesen, I. (2014). Medication errors cost the NHS up to £2.5bn a year. Retrieved from http://www.pharmaceutical-journal.com.sci-hub.cc/news-and-analysis/medication-errors-cost-the-nhs-up-to-25bn-a-year/20066893.article
   Google Scholar
• Tranfield, D., Denyer, D., & Smart, P. (2003). Towards a methodology for developing evidence-informed management knowledge by means of systematic review*. British Journal of Management, 14, 207–222.
   Web of Science ®Google Scholar
• U.S. Food and Drug Administration. (2016). Medication errors reports. Retrieved from https://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm080629.htm
   Google Scholar
• Velez-Diaz-Pallares, M., Delgado-Silveira, E., Carretero-Accame, M.E., & Bermejo-Vicedo, T. (2013). Using healthcare failure mode and effect analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. BMJ Quality & Safety, 22, 42–52. doi: 10.1136/bmjqs-2012-000983
   PubMed Web of Science ®Google Scholar
• Velo, G.P., & Minuz, P. (2009). Medication errors: Prescribing faults and prescription errors. British Journal of Clinical Pharmacology, 67(6), 624–628. doi: 10.1111/j.1365-2125.2009.03425.x
   PubMed Web of Science ®Google Scholar
• Vest, J.R., & Gamm, L.D. (2009). A critical review of the research literature on Six Sigma, Lean and StuderGroup’s Hardwiring Excellence in the United States: The need to demonstrate and communicate the effectiveness of transformation strategies in healthcare. Implementation Science, 4(38), 1–9. doi: 10.1186/1748-5908-4-35
   PubMedGoogle Scholar
• Walsh, K., Roblin, D., Weigart, S., Houlahan, K., Degar, B., Amy, B., … Mazor, K. (2013). Medication errors in the home: A multisite study of children with cancer. Pediatrics, 131(5), e1405–e1414.
   PubMed Web of Science ®Google Scholar
• Wang, F., & Chen, K. (2010). Applying Lean Six Sigma and TRIZ methodology in banking services. Total Quality Management & Business Excellence, 21(3), 301–315. doi: 10.1080/14783360903553248
   Web of Science ®Google Scholar
• Wittich, C. M., Burkle, C. M, & Lanier, W. (2014). Medication errors : An overview for clinicians. Mayo Clinic Proceedings, 89(8), 1116–1125. Elsevier.
   PubMed Web of Science ®Google Scholar
• World Health Organization. (2016). Data and statistics. Retrieved from http://www.euro.who.int/en/health-topics/Health-systems/patient-safety/data-and-statistics
   Google Scholar
• Zavaleta-bustos, M., Castro-pastrana, L.I., Reyes-hernández, I., López-luna, M.A., & Bermúdez-camps, I.B. (2008). Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico. Brazilian Journal of Pharmaceutical Sciences, 44(1), 115–125.
   Google Scholar