Failure Modes and Effects Analysis (FMEA) and Problems Study by Quality Concept

7/28/2019 Failure Modes and Effects Analysis (FMEA) and Problems Study by Quality Concept

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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 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 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 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 5 : Select the solution

Brain storming

Benchmarking

Decision matrix


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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 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 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 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

Failure Modes and Effects Analysis (FMEA) and Problems Study by Quality Concept

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