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FMEA – Health care Project/ Problem Prioritization

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Viewing 9 posts - 1 through 9 (of 9 total)
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  • #25004

    Jeff
    Participant

    I have a lot of high priority problems or projects that come to our large healthcare organization. Some problems are harmful to someone’s health and others are customer complaints. I want to quanitfy our problems so I can work on the most difficult issues. Of course, I’m looking at a FMEA approach (severity & occurence). I would like to get any other ideas. Also I would like to see some other regulatory or health care risk, occurence scales to get an idea how to rate our problems using risk and occurence (e.g. risk – 10- immediate hazard … occurence – daily)
    Do you have any FMEA scales that you can send me or point me to a specific web page (not site) that I can get a health care FMEA scale? Also, if you have any other ideas how to approach the problem or project prioritization.

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    #60043

    Dr. Deborah L. Smith
    Participant

    JCAHO has an excellent resource that I would recommend that you evaluate.  Book called:Failure Mode and Effects Analysis in Healthcare Proactive Risk Reduction I   SBN 0-86688 758 X     Address: Dept of Publications JCAHO Resources Oakbrook Terrace, Il 60181.  Check the JCAHO Web-site.
    Chapter 5 covers the priorization scales that are applicable to Healthcare. Excellent resource that will help with proven examples.

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    #60044

    Dr. Deborah L. Smith
    Participant

    I would recommend that you evaluate the book: Failure Modes and Effects Analysis in Health Care  Proactive Risk Reduction, ISBN 0-86688758 X   Address: JCAHO One Renaissance Boulevard, Oakbrook Terrace, Il  60181.  Also check the JCAHO web site.
    The Prioritization Scales are very appicable to Healthcare and a excellent references to adapt to what you are working on. 
    If I can be of more assistance, feel free to contact me by email.

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    #60432

    Narender Ballan
    Participant

    Hi
    I went through your current problem, i suugest you to tkae the help of ANOVA ( Analysis of Variance ) along with FMEA. hope u have done pareto analysis which will give u the idea that your 80% of the problem can be solved by attcking 20% of major problem.
    i f u can ellaborate your problem may be i can come up with more appropriate answer.
    your truly
    Narender Ballan
     

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    #60561

    Jonathon Andell
    Participant

    FMEA is a powerful tool to identify areas of risk. However, that is only one dimension of whether an issue warrants the DMAIC approach. For example, some issues might have obvious and straightforward solutions. Others may be too complex or politically sensistive. There may be other reasons why DMAIC is not the ideal choice.If you regard FMEA as one element among many, it can be a useful contributory tool.

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    #60604

    Deepali
    Participant

    Hi Jeff,
    If you are still interested, you could look at “VA National Center for Patient Safety” website – http://www.patientsafety.gov/ 
    Under the Patient Safety topics, click on HFMEA. The Basics of HFMEA document, page 9 has the hazard scoring matrix which we use at our hospital.
    Good luck!

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    #61533

    Mohammed Ilyas
    Participant

    Hello All,
    I would like to know more about RPN , i understand RPN  can be calculated = Sev*Prob*det i get the result .. I need some more clarification on RPN , is there any criteria if RPN is >50 , 80 what is the impact and risk ..
    Regards,
    Mohammed

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    #61535

    BritW
    Participant

    RPN is a relative measure to the scale you use.  Most scales are highest on a 1000 rating (max 10 for sev * occ *det).  Depending on how you have your descriptions set for 1, 2, 3, …10, the relative measure will be specific to your organization.  I haven’t heard the ability to compare an RPN from one company to another, unless they use the same scale descriptions.  Some automotive FMEA’s can be compared sinice they seem to use the same scale and descriptions.  Even then, it can be a subjective excercise.
    If you do your RPNs for all of your Failure Modes and chart from highest to lowest, chances are you will see a natural split at some point where a large drop occurs from one group of issues to another.  After you do a few of these, you will be able to determine a significant RPN value for your org.

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    #62055

    success
    Member

    I work for a small lhospital and we experience the same problems every night. Lots of varations in the dr’s ordering process and from the distribution area. My manager is up my throat for not making stats.
    As a processor, I would like to do a work-out to make stats improvement and a huge difference in my department.,For most part, ourclients isend  uncoded  drs’ order ,and we spend a lot of time rying to figure out what they are ordering. Someone, help me come up with a plan that would elminate the re-wordk,patient re-draw, and longer lead time. Please remember at the same time we have to retain our customers, during the changing process.

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