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=7118&ScenarioId=8356&Type=1 1/1
Failure Modes and Effects Analysis (FMEA) Tool
Wristbanding Process Improvement
United StatesHospitalCommunity
Aim: Reduction in patient identification related errors
Process Data
Date: 08/06/2008
Step Description1 Patient Arrives for Lab
Failure Mode Causes Effects Occ Det Sev RPN ActionsPatient does not arrive to lab Confused, Poor signage,
Language BarrierLab tests do not get done ornot done in a timely manner
3 1 6 18 Have centralized check in forall tests/procedures
Step Description2 Patient Checks in at Laboratory
Step Description3 Patient is called back by Lab Tech
Step Description4 Tech verbally identifies patient
Failure Mode Causes Effects Occ Det Sev RPN ActionsTech incorrectly identifies thepatient Tech doesn't identify thepatient at all
Lack of knowledge aboutidentifiers Non compliance
Incorrect tests 2 8 9 144 Wristbanding at a centralcheck in location; patient toverify information is correcton the wristband beforeleaving admissions.
Step Description5 Test completed
Step Description6 Patient Leaves
Calculated Totals
Total Risk Priority Number for the process 162
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