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[Frank Federico] Failure mode and effects analysis known as FMEA is a tool brought in from industries outside of healthcare into healthcare to help us understand and determine whether process failures are designed to be a mechanism by which you could look at your processes our look at a piece of equipment to determine where are the failure points where in the places that this might not work the way it's supposed to and then using a system would that looks at frequency of how often the event happens severity of what may happen if that fails and then the ability to detect whether or not we can pick up that failure before it harms a patient or before it becomes catastrophic by multiplying the scores that you put in each one of those and the scores are one to ten you get a risk priority number which helps you identify which area do you need to focus on in order to begin your work and improvement the ideal for using FMEA is in a process that you are about to put into place trying to be predictive of what do we think that go wrong so you can address the system's ahead of time it gives you a direction of where you should be putting your work because those are the areas that either happen most frequently and caused the most harm or may have the lowest rate of detection that is we can't pick those out and it's enlightening because there are times when people start working on a process and of course many of our healthcare processes are very complicated and very complex and they begin in the wrong place an FMEA is one tool to help you guide you into where should you start putting your energy doesn't mean you don't work on the other places but it means that that's probably a good place to start
start with a simple process that you can learn how to detail the different steps that exist how you can work together with your team and all the people who do the work to set up how frequency it happens is this something that happens all the time as this happens very rarely what's the severity when this happens and what's our ability to intercept it or detect it before it becomes more serious
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