Post on 03-Apr-2018
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Failure Modes and Effects Analysis
(FMEA)FMEA is a systematic, proactive method For Evaluating A Process To Identify Where
And How It Might Fail And To Assess The Relative Impact Of Different failures
FMEA includes review of the following:
1. Steps in the process Failure modes ( What could go wrong?)
2. Failure causes ( Why would the failure happen?)
3. Failure effects ( What would be the consequences of each failure?)
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Problems study based on
quality conceptsMedical record
department complaining
from increasing medicalfile deficiencies .
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Step 1 : Identify (find) the problem
Control chart P OR U chartTo know the stability of the process & the average
If the team decide to use P chart they collect the data as follow:
Sample size represent :
TIME ERRORS TOTAL
If the team decide to use U chart they collect the data as follow:
Sample size represent :TIME ERRORS TOTAL SAMPLE
Results : there is medical file deficiencies ratio 30% or 10 deficient file / w as
average
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statement
Total Medical file deficiencies represents 30% or 10file / w and the hospital target is 0 defect
Definition:
Medical file deficiency
uncompleted any field
no date or timeno signature
missed any form
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement team
Using flow chart (ideal)
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FLOW CHARTPatient
discharged
Arranged file
-------------------------------
Head nurse
Is the file
complete
File sending to MR---------------------------
nurse
Checking the file---------------------------
MR
Is the file
complete
Completing file----------------------
Doctor / nurse
Scanning file---------------------------
MR
Archiving
file
Request toconcerned staff
----------------------
Nurse
YES
NO
YES NO
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problem
Pareto to identify the main department
Flowchart to current activity
Cause and effect
Decision matrix to capsized the causes
Validate the cause (data collection / scattered
diagram)
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problem
Step 5 : Select the solution
Brain storming
Benchmarking
Decision matrix
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problem
Step 5 : Select the solutionStep 6 : Planning for the solution
Describe the solution
Identify What, Who, When, Resources needed, Control of
the steps needed to implementation
Add members needed to implementation to your team
Gantt chart for implementation
Identify how the team will monitor the implementation
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problemStep 5 : Select the solution
Step 6 : Planning for the solutionStep 7 : DO the implementation
oTake the approval of high management
oSelect the area of pilot study
oStart the implementation
oFollow up the implementation
Use Gantt chart
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problemStep 5 : Select the solution
Step 6 : Planning for the solutionStep 7 : DO the implementationStep 8 : Check the implementation
Checking the implementation steps
Checking the out come of the solution
Using the same tool which verified the problem
control chart
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Step 1 : Identify (find) the problem
Step 2 : Formulate new problem statementStep 3 : Organize improvement teamStep 4 : Understanding the problemStep 5 : Select the solution
Step 6 : Planning for the solutionStep 7 : DO the implementationStep 8 : Check the implementationStep 9 : Act
IF it successesPublished the result of the pilot study
Implement for all departments
Established indicator
Use control chart to monitor the process
If no successes
Re-plan the solution or select another one
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THANK
YOU