http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx
Identify a breakdown or imminent breakdown in clinical practice-
Review the class resources for examples that may apply to current practice and describe a high risk situation or risk for error in a case study format.
Identify the type, frequency and repetition of the problem as you can best determine from the literature.
You can use the same topic as your formal paper if that works for you – no need to recreate the wheel
Complete a Failure Mode Effect Analysis-
Use the IHI template
video in assignment to view
Only pick 3-5 processes/sub-processes on the tool
there could be endless processes/sub-processes – only pick 3-5
best educated guess on Likelihood of occurrence, likelihood of detection and severity
calculate RPN – focus on Failure modes with higher RPNs
Highlight highest RPN in PowerPoint – list interventions
Presentation-
1. Develop a power point presentation (about 8-10 slides max – including title and reference)
why are you focusing on this?
why is this relevant?
cite sources to explain why it is relevant
In the assignment – there is a Sample PowerPoint, Sample IHI (remember you only need 3-5) and also a video to help with the IHI tool.
Failure Modes Effect Analysis (FMEA) Presentation
Purpose: The project will give the student, the opportunity to reflect on examining human factors and other theories of error and also to actively participate in analyzing prior and high-risk situation and designing systems improvement. Students learn to value standardization and reliability as a safety strategy, value the impact of error on patient, families and health care professionals.
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.
Develop a working knowledge of the safety indicators.
Analyze the identified issue using the FMEA process for implementation of the current work environment.
Reflect on their learning.
Components of the project and grading criteria:
Identify a breakdown or imminent breakdown in clinical practice – 25 points
Review the class resources for examples that may apply to current practice and describe a high risk situation or risk for error in a case study format.
Identify the type, frequency and repetition of the problem as you can best determine from the literature.
Complete a Failure Mode Effect Analysis – 50 points
Use the IHI template (see below)
Only pick 3-5 processes/sub-processes on the tool
Attach (in a seperate document) completed FMEA to your assignment
Presentation – 25 points
Develop a power point presentation (about 8-10 slides max)
Include reflection on the project including:
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
Include a slide with 3 selected references or other web links in addition to the IHI
