Table 3

 Failure modes and comparative criticality indexes (CIs) for the old and new processes

Process stepsFailure modesCriticality indexReduction factor(new/old)
Old processNew process
PrescriptionTyping error105283.8
Dosage determination error175286.3
Programme unavailability9200.5
Prescription of a solution impossible to produce1853.6
Transmission to pharmacyReadability problems210730.0
Transmission to wrong destination4595.0
Pharmaceutical validationFailure to detect a typing error during prescription1751751.0
Failure to detect a dosage error2101052.0
Label productionRe-transcription error72236.0
Poor printing quality1042.5
CompoundingProduct exchange384488.0
Product omission3361123.0
Dosage error512648.0
Microbial contamination1891261.5
Chemical cross-contamination2102110.0
Labelling error3153151.0
Quality controlFailure to detect a dosage/product error3602881.3
Failure to detect a microbial contamination80402.0
Sum 3415 1397
Mean 7