Medication error is one of many adverse events that occur at a hospital, based on data from the Committee of Quality Improvement and Patient Safety in this hospital. This study aims to analyze failure modes and the effects of the medication process by using FMEA as a proactive risk reduction method in healthcare. The design of this study was cross-sectional. Data are obtained from incident reports and risk register of this hospital. In nature way, the writer analyzes the data descriptively. The FMEA process uses stages following JCI. For this activity, the FMEA produces failure modes, potential causes and potential effects. The highest Risk Priority Number (80) of failure modes is shown by the aspect of the lack of information about patients’ allergic history in medical records. The rate of 60% of the proposed redesign process is implemented in this hospital, and it manages to lower Risk Priority Number 64 points from 80 to 16.  Redesign Process using FMEA method can be used in reducing healthcare risk, and this research needs to be continued to observe the effectiveness of FMEA in reducing incident report in this hospital this year.

• Ahmed, Z., Saada, M., Jones, A. M., & Al-Hamid, A. M. (2019). Medical errors: Healthcare professionals’ perspective at a tertiary hospital in Kuwait. PloS one, 14(5), e0217023.
• Assefa, H., Bogale, A., Gebremedhin, B., Mekuriaw, Z., Derso, T., Dessalegn, Y., ... & Hoekstra, D. (2016). Village Chicken Production and Marketing in West Gojjam Zone, Ethiopia. Current Research in Agricultural Sciences, 3(4), 64-73.
• Duwe, B., Fuchs, B. D., & Hansen-Flaschen, J. (2005). Failure mode and effects analysis application to critical care medicine. Critical care clinics, 21(1), 21-30.
• Fairbrother, G., Jones, A., & Rivas, K. (2010). Changing model of nursing care from individual patient allocation to team nursing in the acute inpatient environment. Contemporary Nurse, 35(2), 202-220.
• Hąbek, P., & Molenda, M. (2017, February). Using the FMEA method as a support for improving the social responsibility of a company. In International Conference on Operations Research and Enterprise Systems (Vol. 2, pp. 57-65). SCITEPRESS.
• Hashemi, B., Motamedi, M., Etemad, M., Rahmati, F., Forouzanfar, M. M., & Kaghazchi, F. (2014). An Audit of Emergency Department Accreditation Based on Joint Commission International Standards (JCI). Emergency, 2(3), 130.
• Khairurrijal, M. A. W., & Putriana, N. A. (2018). Medication Erorr Pada Tahap Prescribing, Transcribing, Dispensing, dan Administration. Majalah Farmasetika, 2(4), 8-13.
• 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(6).
• Makeham, M., Dovey, S., Zwar, N., & Carson-Stevens, A. (2016). Administrative errors: technical series on safer primary care. World Health Organization.
• Roy, V., Gupta, P., & Srivastava, S. (2006). Chapter-14 Medication Errors: Causes & Prevention. Heal. Adm., 19(1), 60-64.
• Setiasih, P. I., & Junadi, P. (2017). Effectiveness of Failure Modes Effect Analysis (FMEA). Journal of Indonesian Health Policy and Administration, 2(2), 25-29.
• Spath, P. L. (2003). Using failure mode and effects analysis to improve patient safety. AORN journal, 78(1), 15-37.
• Tran, D. T., Johnson, M., Fernandez, R., & Jones, S. (2010). A shared care model vs. a patient allocation model of nursing care delivery: Comparing nursing staff satisfaction and stress outcomes. International Journal of Nursing Practice, 16(2), 148-158.
• Yousefian, S., Harat, A. T., Fathi, M., & Ravand, M. (2013). A proposed adaptation of joint commission international accreditation standards for hospital--JCI to the health care excellence model. Advances in Environmental Biology, 956-968.

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