Failure Modes and Effects Analysis (FMEA)

FMEA is a systematic, proactive method For Evaluating A Process To Identify Where And How It Might Fail And To Assess The Relative Impact Of Different failures FMEA includes review of the following: 1. Steps in the process Failure modes ( What could go wrong?) 2. Failure causes ( Why would the failure happen?) 3. Failure effects ( What would be the consequences of each failure?)

Problems study based on quality concepts

Medical record department complaining from increasing medical file deficiencies .

Step 1 : Identify (find) the problem Control chart P OR U chart

Sample size represent : TIME ERRORS

To know the stability of the process & the average

If the team decide to use P chart they collect the data as follow:
TOTAL

If the team decide to use U chart they collect the data as follow:
Sample size represent :

TIME

ERRORS

TOTAL

SAMPLE

Results : there is medical file deficiencies ratio 30% or 10 deficient file / w as average

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement

Total Medical file deficiencies represents 30% or 10

file / w and the hospital target is 0 defect Definition: Medical file deficiency uncompleted any field no date or time no signature missed any form

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team
Using flow chart (ideal)

Patient discharged

FLOW CHART
Is the file complete YES File sending to MR --------------------------nurse NO Request to concerned staff ---------------------Nurse

Arranged file ------------------------------Head nurse

Checking the file --------------------------MR

Completing file ---------------------Doctor / nurse

Scanning file --------------------------MR

YES

Is the file complete

NO

Archiving file

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem
Pareto to identify the main department Flowchart to current activity Cause and effect Decision matrix to capsized the causes Validate the cause (data collection / scattered diagram)

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem Step 5 : Select the solution Brain storming Benchmarking Decision matrix

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem Step 5 : Select the solution Step 6 : Planning for the solution
Describe the solution Identify What, Who, When, Resources needed, Control of the steps needed to implementation Add members needed to implementation to your team Gantt chart for implementation Identify how the team will monitor the implementation

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem Step 5 : Select the solution Step 6 : Planning for the solution Step 7 : DO the implementation
oTake the approval of high management oSelect the area of pilot study oStart the implementation oFollow up the implementation Use Gantt chart

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem Step 5 : Select the solution Step 6 : Planning for the solution Step 7 : DO the implementation Step 8 : Check the implementation
Checking the implementation steps Checking the out come of the solution Using the same tool which verified the problem control chart

Step 1 : Identify (find) the problem Step 2 : Formulate new problem statement Step 3 : Organize improvement team Step 4 : Understanding the problem Step 5 : Select the solution Step 6 : Planning for the solution Step 7 : DO the implementation Step 8 : Check the implementation Step 9 : Act
IF it successes
Published the result of the pilot study Implement for all departments Established indicator Use control chart to monitor the process

If no successes
Re-plan the solution or select another one

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