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. 2012 Aug 28;9(1):e1–e7. doi: 10.1200/JOP.2012.000601

Table A1.

No. of Failure Modes Identified in Each Major and Minor Step in the Process Map for Home Administration of Oral Chemotherapy After the Prescriber Changed the Dose

Major Step Minor Step No. of Failure Modes Failure Modes per Major Step
Family receives instructions Healthcare provider gives instructions 7 11
Family understands instructions 4
Not enough medication at home, fill prescription Problem with prescribing 4 19
Problem with dispensing 10
Problem from family 5
Update personal medication book None 4 4
Adjust label None 2 2
Share information with other caregivers Mistake giving information 2 4
Mistake receiving information 2
Decide it is time to administer Remember to give 4 6
Consider whether ok to give 2
Locate medicine None 3 3
Read label Label wrong 2 5
Read wrong 3
Measure dose None 3 3
Prepare medication Equipment 2 7
Handling 5
Locate child and administer medication Location/medication problem 2 5
Child problem with medication 3