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    Contoh FMEA Triage First

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    Anisa
    This document summarizes the results of a Failure Modes and Effects Analysis (FMEA) conducted on the triage process at Jersey Shore Hospital. The FMEA identified several potential failure modes at each step of the triage process, along with their causes and effects. Key failure modes included delays in patient care, lack of communication between staff, and potential patient harm. The FMEA calculated an overall risk priority number of 1124 for the triage process and provided recommended actions to address each failure mode, such as improving staff education, defining triage responsibilities, and enhancing communication between departments.

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    Contoh FMEA Triage First

    Uploaded by

    Anisa
    278 views2 pages
    This document summarizes the results of a Failure Modes and Effects Analysis (FMEA) conducted on the triage process at Jersey Shore Hospital. The FMEA identified several potential failure modes at each step of the triage process, along with their causes and effects. Key failure modes included delays in patient care, lack of communication between staff, and potential patient harm. The FMEA calculated an overall risk priority number of 1124 for the triage process and provided recommended actions to address each failure mode, such as improving staff education, defining triage responsibilities, and enhancing communication between departments.

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    contoh FMEA

    Original Title

    contoh FMEA Triage First

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    This document summarizes the results of a Failure Modes and Effects Analysis (FMEA) conducted on the triage process at Jersey Shore Hospital. The FMEA identified several potential failure modes at each step of the triage process, along with their causes and effects. Key failure modes included delays in patient care, lack of communication between staff, and potential patient harm. The FMEA calculated an overall risk priority number of 1124 for the triage process and provided recommended actions to address each failure mode, such as improving staff education, defining triage responsibilities, and enhancing communication between departments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    278 views2 pages

    Contoh FMEA Triage First

    Uploaded by

    Anisa
    This document summarizes the results of a Failure Modes and Effects Analysis (FMEA) conducted on the triage process at Jersey Shore Hospital. The FMEA identified several potential failure modes at each step of the triage process, along with their causes and effects. Key failure modes included delays in patient care, lack of communication between staff, and potential patient harm. The FMEA calculated an overall risk priority number of 1124 for the triage process and provided recommended actions to address each failure mode, such as improving staff education, defining triage responsibilities, and enhancing communication between departments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    9/14/2015

    InstituteforHealthcareImprovement:FailureModesandEffectsAnalysisToolProcessDataReport

    FailureModesandEffectsAnalysis(FMEA)Tool

    TriageFirst
    JerseyShoreHospital
    JerseyShore,Pennsylvania,UnitedStates
    HospitalCommunity

    Aim:TriageFirst
    ProcessData
    Date:04/20/2010
    Step

    Description

    Patientarriveswalkin

    FailureMode

    Causes

    Reluctanttotellchief
    complaint
    Patientcannotgetoutofcar
    tocomein
    NooneatCRdesk
    Physicallayoutdelays
    visibility
    Afterhouraccess

    Patientembarrasement
    Delayedpatientcare
    Lackofknowledge
    Potentialpatientharm
    Patientcondition
    Findingsomeonetohelpget
    patientoutofvehicle.
    Patientvolume
    OtherfunctionsofCRsuchas
    Pullingcharts
    Physicallayout
    MultifunctionsofCR
    Malfunctionofcallbell

    Step

    Description

    GreetedandsignsinatCRdesk

    Effects

    FailureMode

    Causes

    Effects

    Collapseanddie
    Delay
    Multiplefunctionsofrole
    Accuracyofinitialinformation
    Experienceofregistration
    staffwithpatientacuity
    Volumeofpatientstobe
    registeredfor
    differentservices
    Poorcommunicationbetween
    CRstaffandnursing

    Volumeofnursingstaff
    Lackoftraining
    Volumeofpatientstobe
    registered
    CRstaffingissues
    Patientslackofknowledge
    Poorcommunicationbetween
    CRstaffandnursing

    Potentialharmtopatients
    FearandstressofCRstaff
    Poorcommunicationbetween
    CRstaffandnursing

    Step

    Description

    Greetedandtriagedbynursearrivesbyambulance

    FailureMode

    Causes

    Effects

    Delay
    Spaceavailabletoperform
    triage
    Colapseanddie
    Discrepanciesanddata
    gathering
    ERvolumesandacuitylevels

    Nursestaffing
    Patientvolume
    LackofERrooms
    Patientopenessandhonesty

    Patientharm
    Poorcommunityimageand
    loyalty

    Step

    Description

    Level1complaint,nursenotifiedimmediately

    FailureMode

    Causes

    Effects

    ERvolumeandacuity
    DelayandresponseoftheRN
    Communicationissue
    betweenstaff

    Patientvolumeandacuity
    Staffingandnurse
    experience
    Noclearexpectationsonhow
    tocommunicateonincoming
    patients
    Questioningasameansfor
    delay

    Patientcollapsesanddies
    Effectsthetriagetime
    Patientharm
    FearandstressofCRstaff

    Causes

    Effects

    Step

    Description

    No,patientregistered

    FailureMode

    Potentialforthepatientto
    Physicallayout
    colapse
    ExperienceofCRstaffwith
    Regulation/EMTALAconcerns patientacuity
    AvailabilityofRNstaff

    Step

    Delayincare
    Potentialharm
    EMTALAviolation

    Occ Det Sev RPN Actions


    7

    42 Feedbackoneducation
    needsforcentral
    registration.
    EducationneedsforCentral
    Registrationonlevel1S&S

    Occ Det Sev RPN Actions


    10

    60 Feedbackoneducation
    needsofcentralregistration.
    Educationonlevel1S&S
    Bedsideregistration/doing
    registrationintriage

    Occ Det Sev RPN Actions


    8

    200 Reviewtriagedocumentation
    requirements
    Triageresposibilitiesdefined
    Evaluationusingmini
    triage/registration
    CommunicationbetweenED
    staffaboutpatients
    Orientationandcross
    training(competency
    checklists
    Patientarrivaldistribution

    Occ Det Sev RPN Actions


    10

    350 feedbackoneducationneeds
    forCRstaff
    Educationonlevel1S&S
    NotifynurseofallED
    patients,eitherdeletingthis
    steporalteringittodelete
    level1complaint

    Occ Det Sev RPN Actions


    10

    10

    100 Bedsideregistration
    /registrationinTriage
    ??deletethisstepsi8nceall
    patientscalledtotriage
    nursenotjustlevel1

    Description

    http://app.ihi.org/Workspace/tools/fmea/ProcessDetailDataReport.aspx?ToolId=10519&ScenarioId=12151&Type=1

    1/2

    9/14/2015
    6

    InstituteforHealthcareImprovement:FailureModesandEffectsAnalysisToolProcessDataReport
    Yes,nursenotifiedofpatient

    FailureMode

    Causes

    Effects

    Assignmentaftertriage
    Variationandprocedure
    Whatisactuallydonein
    triage
    Volumeandacuity

    Lackof
    education/understanding
    Volumeandacuity
    Staffing/experienceofthe
    staff
    Assignmentaftertriage
    Nameonbluecard
    Nodefined
    roles/responsibilityfortriage

    Delayedpatientcare
    Prolongedstays
    Patientharm
    Deteriorationof
    communication
    Lackofpatientsatisfaction

    FailureMode

    Causes

    Effects

    Availablespace
    Experienceofnurse
    Accuracyandchangingof
    initialpatientinformation

    Lackofpatient
    openness/clarity
    Numberofrooms/physical
    layout
    LackofEquipment
    Delayinadmissions/patient
    flowissues

    Delayofpatientcare
    Appropriateassessmentof
    acuity
    Patientcareinitiated
    BottleneckinER

    Step

    Description

    Nursetriagespatient

    Occ Det Sev RPN Actions


    10

    10

    300 NotifynurseofallED
    patientsnotjustlevel1.
    Reviewtriagedocumentation
    requirements.
    Triageresponsibilities
    defined.
    Considerroomassignments
    fornurses.
    Educationonfivetiertriage.
    Flowaftertriage
    Handoffcommunication

    Occ Det Sev RPN Actions


    8

    72 Reviewtriagedocumentation
    requirements
    Triageresposibilitiesdefined
    CommunicationofCRbed
    assignments
    Considerroomassignments
    fornurses
    Educationonfivetiertriage
    Handoffcommunication
    Flowaftertriage

    CalculatedTotals
    TotalRiskPriorityNumberfortheprocess

    1124

    Occ: LikelihoodofOccurrence(110)
    Det: LikelihoodofDetection(110)
    NOTE: 1=VerylikelyitWILLbedetected

    10=VerylikelyitWILLNOTbedetected

    Sev: Severity(110)
    RPN:RiskPriorityNumber(OccDetSev)

    Annotation
    None

    http://app.ihi.org/Workspace/tools/fmea/ProcessDetailDataReport.aspx?ToolId=10519&ScenarioId=12151&Type=1

    2/2

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