C489 FMEA Table PDF

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Summary

FMEA Table...

Description

SAT1: Task 2 –FMEA Table

List 4 steps in your Improvement Plan Process *

List 1 Failure Mode per step

Likelihood of Occurrence (1–10)

Likelihood of Detection (1–10)

Severity (1–10)

Risk Priority Number (RPN)

Example: On-call staff must clock in within 30 minutes of being notified.

On-call staff forget to clock in when arriving to the unit.

4

5

2

40

1. Timely response to all oxygen saturation alarms.

Staff are busy or overloaded with patients.

6

5

7

210

2. Closely follow policy for supplemental oxygen placement.

Staff is unaware or unfamiliar with policy.

4

5

8

160

3. Notify RN or charge nurse of alarmed low oxygen saturations.

Staff are busy or unable to locate RN or charge nurse.

6

6

4

144

4. Continue to monitor oxygen saturation when placed on supplemental oxygen.

Equipment malfunction.

3

4

4

60

Total RPN (sum of all RPN’s): 574

FMEA Table for Your Improvement Plan* * Refer back to your Improvement Plan response in prompt B.

Revised 10/2019...