contoh fmea wrong blood in tube
DESCRIPTION
contoh FMEATRANSCRIPT
9/14/2015 Institute for Healthcare Improvement: Failure Modes and Effects Analysis Tool Process Data Report
http://app.ihi.org/Workspace/tools/fmea/ProcessDetailDataReport.aspx?ToolId=18663&ScenarioId=20717&Type=1 1/1
Failure Modes and Effects Analysis (FMEA) Tool
Copy of Wrong blood in tube
United StatesHospitalCommunity
Aim: To prevent drawing blood on the wrong patient ultimately reduce wrong blood in tube.
Process Data
Date: 11/10/2014
Step Description1 MD placed order for blood draw
Step Description2 The RN should be triggered to draw blood when order is placed
Step Description3 RN makes not of time and day lab is to be drawn
Step Description4 RN to collect supplies to draw blood
Step Description5 RN verifies two patient indicators before drawing blood
Step Description6 RN draws blood
Step Description7 RN labels blood with time, date and initials
Step Description8 Second RN verifies label and blood drawn
Step Description9 RN sends blood to lab
Step Description10 RN waits for results to be posted in EHR
Calculated Totals
Total Risk Priority Number for the process
Occ: Likelihood of Occurrence (110)Det: Likelihood of Detection (110) NOTE: 1 = Very likely it WILL be detected
10 = Very likely it WILL NOT be detectedSev: Severity (110)RPN: Risk Priority Number (Occ × Det × Sev)
AnnotationNone