FMEA Table

FMEA Table

Steps in the Improvement Plan Process *Failure ModeLikelihood of Occurrence(1–10)Likelihood of Detection(1–10)Severity(1–10)Risk Priority Number(RPN)
EXAMPLE:Doctor orders medication for pain prior to invasive procedure.Wrong medication selected35575
1. Sedated pt placed on 1:1 with RNNot enough staff available to provide 1 on 1 pt care.41832
2. Pts receive supplemental oxygen before, during and after sedation procedureRn will fail to place oxygen on pt35690
3. Create checklist for application of comprehensive monitoringRn may be in a hurry and try to “memorize” the checklist43560
4.     
     Total RPN (sum of all RPN’s): 182

*do not include more than four steps in the improvement plan process

Not enough staff available to provide 1 on 1 pt care.418322. Pts receive supplemental oxygen before, during and after sedation procedureRn will fail to place oxygen on pt 356903. Create checklist for application of comprehensive monitoringRn may be in a hurry and try to “memorize” the checklist435604.          Total RPN (sum of all RPN’s): 182*do not include more than four steps in the improvement plan process
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