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 |