Tag: FMEA

Identify a breakdown or imminent breakdown in clinical practice.Analyze the identified issue using the FMEA process for implementation of the current work environment.

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

Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.Explain the general purpose of the failure mode and effects analysis (FMEA) process.

Explain the general purpose of conducting a root cause analysis (RCA).

Explain each of the six steps used to conduct an RCA, as defined by IHI.

Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.

Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome.

Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.

Explain the general purpose of the failure mode and effects analysis (FMEA) process.

Describe the steps of the FMEA process as defined by IHI.

Complete the attached FMEA table by appropriately applying the scales of severity, occurrence, and detection to the process improvement plan proposed in part B.

Note: You are not expected to carry out the full FMEA.

Explain how you would test the interventions from the process improvement plan from part B to improve care.

Explain how a professional nurse can competently demonstrate leadership in each of the following areas:

promoting quality care

improving patient outcomes

influencing quality improvement activities

Discuss how the involvement of the professional nurse in the RCA and FMEA processes demonstrates leadership qualities.

Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

Demonstrate professional communication in the content and presentation of your submission.

. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome. Explain the general purpose of conducting a root cause analysis (RCA)?

A. Explain the general purpose of conducting a root cause analysis (RCA)?

1. Explain each of the six steps used to conduct an RCA, as defined by NI.

2. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.

B. Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome.

1. Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.

C. Explain the general purpose of the failure mode and effects analysis (FM EA) process.

1. Describe the steps of the FMEA process as defined by HI.

2. Complete the attached FMEA table by appropriately applying the scales of severity, occurrence, and detection to the process improvement plan proposed in part B.
Note: You are not expected to carry out the full FMEA.
D. Explain how you would test the interventions from the process improvement plan from part B to improve care.
E. Explain how a professional nurse can competently demonstrate leadership in each of the following
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