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  • Specimen Labeling Identifiers Recent

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    12 vues1 page

    Specimen Labeling Identifiers Recent

    Transféré par

    Anisa
    o

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    9/14/2015

    InstituteforHealthcareImprovement:FailureModesandEffectsAnalysisToolProcessDataReport

    FailureModesandEffectsAnalysis(FMEA)Tool

    CopyofSpecimenLabelingIdentifiers
    ColumbiaValleyCommunityHealth
    Wenatchee,Washington,UnitedStates
    PrimaryCarePractice

    Aim:Reducethenumberoflabelingerrorsforlabrotoryspecimens.
    ProcessData
    Date:07/21/2008
    Step

    Description

    Patientchecksinandspecimenlabelsareprinted

    FailureMode

    Causes

    Effects

    Wrongpatientinformationin
    system

    NameorBDchange

    Patientlabelwouldnotmatch
    order

    Step

    Description

    MAcallbackpatientsusinglabelprintedbyCustomerCare

    FailureMode

    Causes

    Wrongstickerwasprintedby NotfollowingStep#1
    CustomerCare

    Effects
    Wrongpatientcalledback,or
    delayinprocess

    Step

    Description

    Nursingverifiespatientidentifiersaskingpatienttostatenameand
    BD

    FailureMode

    Causes

    Effects

    Processnotcurrentlybeing
    followedconsistently

    Fastertohavepatientjust
    lookatlabel,newbehavior
    change.

    Specimensnotlabeled
    correctly

    Step

    Description

    Labcrosschecksspecimenwithlaborder,confirmingcorrect
    specimenwithcorrectorder.

    FailureMode

    Causes

    Effects

    Previousstepsnotdone.

    Failuretoperformcross
    check

    Patientreceiveswrong
    results

    Occ Det Sev RPN Actions


    1

    5 CustomerCarestaffwill
    consistentlyaskforname
    andBDandassurecomputer
    informationisaccurate
    beforeprintinglabel.

    Occ Det Sev RPN Actions


    1

    1 CustomerCareconsistently
    followsStep#1

    Occ Det Sev RPN Actions


    1

    10 NurseswillconsistentlyASK
    patientfornameanddateof
    birthandcheckthatagainst
    labelbeforelabeling
    specimencontainer.
    ReinforcewithnursesNPSG
    #1

    Occ Det Sev RPN Actions


    1

    5 Labconsistentlyperforms
    crosscheck

    CalculatedTotals
    TotalRiskPriorityNumberfortheprocess

    21

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

    10=VerylikelyitWILLNOTbedetected

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

    Annotation
    Event:MonitorofProgress

    http://app.ihi.org/Workspace/tools/fmea/ProcessDetailDataReport.aspx?ToolId=7020&ScenarioId=8250&Type=2

    1/1

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