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9/14/2015

InstituteforHealthcareImprovement:FailureModesandEffectsAnalysisToolProcessDataReport

FailureModesandEffectsAnalysis(FMEA)Tool

CopyofWrongbloodintube
UnitedStates
HospitalCommunity

Aim:Topreventdrawingbloodonthewrongpatientultimatelyreducewrongbloodintube.
ProcessData
Date:11/10/2014
Step

Description

MDplacedorderforblooddraw

Step

Description

TheRNshouldbetriggeredtodrawbloodwhenorderisplaced

Step

Description

RNmakesnotoftimeanddaylabistobedrawn

Step

Description

RNtocollectsuppliestodrawblood

Step

Description

RNverifiestwopatientindicatorsbeforedrawingblood

Step

Description

RNdrawsblood

Step

Description

RNlabelsbloodwithtime,dateandinitials

Step

Description

SecondRNverifieslabelandblooddrawn

Step

Description

RNsendsbloodtolab

Step

Description

10

RNwaitsforresultstobepostedinEHR

CalculatedTotals
TotalRiskPriorityNumberfortheprocess

Occ: LikelihoodofOccurrence(110)
Det: LikelihoodofDetection(110)
NOTE: 1=VerylikelyitWILLbedetected

10=VerylikelyitWILLNOTbedetected

Sev: Severity(110)
RPN:RiskPriorityNumber(OccDetSev)

Annotation
None

http://app.ihi.org/Workspace/tools/fmea/ProcessDetailDataReport.aspx?ToolId=18663&ScenarioId=20717&Type=1

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