FMEA
http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx
Identify a breakdown or imminent breakdown in clinical practice-
why are you focusing on this?
why is this relevant?
The student will complete a Power-Point presentation based on the following objectives:
Examine the safety related literature and web sites.
Examine The Joint Commission’s current Patient Safety Goals and AHRQ’s Patient Safety Indicators.
Analyze the identified issue using the FMEA process for implementation of the current work environment.
Components of the project and grading criteria:
Identify a breakdown or imminent breakdown in clinical practice – 25 points
Identify the type, frequency and repetition of the problem as you can best determine from the literature.
What were the patterns discovered?
Under what conditions is it likely that the changing the conditions
identified would prevent an actual error from occurring?
highlight in presentation the highest RPN
What error prevention strategies may be applicable for the situations described in order to be successful in risk reduction
