Académique Documents
Professionnel Documents
Culture Documents
Line 1
Folded flaps
Bent/Damaged flaps
Carton will not open
Poor ink adhesion
Off color
Ink smears/streaks
Oil spots
Fisheye
Missing color
Mislabeled
Damaged Pallet
Undercount
Line 2
16
37
29
7
14
Line 3
6
22
18
8
5
5
83
24
29
18
12
19
14
9
8
3
3
2
Total
Defects
105
83
76
33
31
24
14
9
8
3
3
2
Generator Failure
Conveyor Failure
Training
Safety
Flooding
Pump Failure
Causes of Lost Time
Work Instructions
Bill of Materials
Work Orders
Out of Stock
Wrong parts or material
Lack of tools
Bad assembly
Service Order Rejects
Location 1
Location 2
Location 3
Location 4
Location 5
Location 6
Location 7
Location 8
Location 9
Page 1
Manufacturing
Lost Time
(Minutes)
346
71
34
26
20
9
Incidences
45
40
30
7
7
7
7
Service Order Rejects Lost Time
7564
630
13618
106
2121
37
5121
293
6341
288
7116
710
5212
516
16447
654
6530
504
Description
Scrapped Qty
Ship Qty
Scrap % of Shipped
Support
169
2000
8.45%
Poppet
78
2000
3.90%
Core
135
3500
3.86%
Stainless Body
64
2486
2.57%
197
2.03%
Armature
93
5000
1.86%
Aluminum Washer
76
4970
1.53%
Flange
34
2300
1.48%
Safety Plug
56
4000
1.40%
Neck
79
1.27%
Stainless Washer
11
1037
1.06%
Terminal Cap #8
10
1065
0.94%
Barrel
18
2148
0.84%
12
1955
0.61%
500
0.60%
215
0.47%
Solid Body
303
0.33%
Stainless Washer
1060
0.19%
G20 Wearplate
5046
0.06%
Stainless Washer
2070
0.05%
Page 2
Manufacturing
Tank Defects
Incorrect Dimensions
Parts damaged
Machining
Insufficient masking
Parts rusted
Adhesive failure
Film on parts
Salt spray failure
Out of order
unfinished fairing
Wrong part issued
Weld misaligned
Paint out of spec
Delaminated composit
Voides in casting
Paint damaged
Primer damaged
improper procedure
powdery alodine
36
34
29
17
13
6
5
4
4
3
3
2
2
2
2
1
1
1
1
Page 3
Restaurant Complaints
Cold Food
Flimsy Utensils
Food tastes bad
Salad Not Fresh
Poor Service
Food Greasy
Lack of Courtesy
Lack of Cleanliness
Number
105
20
10
94
15
9
5
25
Healthcare
Timely Filing
Medical Necessity
No Authorization
Partial Authorization
Invalid Auth for Patient Status
Claim Denied
(No Appeal)
$ 7,849,569
$ 2,516,508
$ 1,295,032
$ 750,766
$ 336,270
Wrong Technique
Wrong Time
Wrong Dose
Wrong Route
Drug not available
Wrong Form
Extra Dose
Unauthoried Drug
Omission
Medicatio
n Errors
Baseline
41
33
5
5
3
3
1
0
0
Orthopedic Surgery
General Surgery
Neurosurgery
Urologic Surgery
Other
# RFOs
Pharmacy
Order not received
Wrong Frequency of Dose
Duplicate order entry
Wrong Dose
Omission Drug
Order not Discontinued
Additional Instructions
Wrong Drug
Wrong Patient
Wrong Route (IV vs Intramuscular)
NJ Impact of Adverse Events Adverse Event Patient falls in New Jersey Hospital
283 NJ 2007
Falls 2005
270
Patient Room
103
185
Hallway
6
183
Emergency Department
8
121
Radiology
1
91
ICU/CCU/TCU
1
72
Telemetry Unit
1
53
Cardiac Catheterization L
0
38
Rehabilitation Areas
1
38
Other
3
35
23
13
13
10
23
1
3
7
Page 5
Healthcare
Loss of organ
Page 6
Healthcare
Medicatio Medication
n Errors
Errors
6 months 18 months
25
5
13
16
1
2
1
0
5
4
0
0
3
2
2
1
2
0
SSN
Name
DOB
Test
Doctor
Other
Lab
Order
Errors
226
71
58
44
39
16
Type of
test
Quantity
Chemistry
22063
Hematolog
5532
Urine
2292
Serology
1043
Bacteriolog
673
Page 7
Healthcare
Page 8
Healthcare
Adverse Events
infection
Injury
Mycardial infarction
Deep vein thrombosis
Fall
Pressure Sores
Rash
Breathing Problems
Confusion
Dizziness
Drop in Blood Pressure
Nausea
Pain
Other responses
Other events
total
Medication
New
Effects of Effects of
management Medications surgery
tests
Other
0
0
38
6
0
3
84
6
0
0
9
2
1
0
9
1
1
0
3
1
0
0
6
0
0
71
3
5
1
7
18
0
1
27
3
0
1
40
0
0
3
25
23
3
2
70
0
5
9
0
9
7
37
91
0
6
0
3
84
30
56
337
289
72
Medical Error
Pharmacy
Clinician
Nonmedical Error
Insurance or billing
Scheduling
Wrong Information
Prescription Delay
Test results delay
Behaviour/Communication
Waiting time
Clinician disrespect
Staff disrespect
Felt rushed
Technician care
Other
Misunderstanding
Medical Care
Medication side effects
Clinician unhelpful
Scheduling
Ordering
Insurance Coverage
Missing documentation
Page 9
7
3
7
1
11
7
13
8
0
1
9
0
3
1
20
91
Healthcare
Page 10
Healthcare
Prescribing
Errors
Allergy Related
55
Ambiguous Order
5
Delayed Treatment
3
Duplicate Additive (TPN)
18
Dupliate Order
13
Duplicate Therapy
12
Illegible
16
Incomplete (TPN and chemotherapy)
174
Incomplete other
7
Ion implance (TPN)
25
Overfill (TPN)
53
Rate/volume (TPN)
35
Unnecessary dose or medication
7
Unordered medication
29
unstable
60
Wrong calculation
11
Wrong concentration
17
Wrong Dose
355
Wrong dose of additive
30
Wrong drug
28
Wrong drug Additive
3
Wrong duration of therapy
9
Wrong dosage form
59
Wrong Frequency
81
Wrong Patient
10
Wrong rate ofinfusion
9
Wrong Route of adminsitration
22
Wrong Schedule
40
Wrong volume
4
Wrong weight
6
Page 11
Healthcare
Page 12
Defect
Bent/Damaged flaps
Carton will not open
Folded flaps
Folded flaps
Off color
Bent/Damaged flaps
Carton will not open
Bent/Damaged flaps
Ink smears/streaks
Folded flaps
Bent/Damaged flaps
Ink smears/streaks
Folded flaps
Carton will not open
Carton will not open
Poor ink adhesion
Carton will not open
Off color
Bent/Damaged flaps
Carton will not open
Carton will not open
Folded flaps
Poor ink adhesion
Poor ink adhesion
Ink smears/streaks
Folded flaps
Poor ink adhesion
Carton will not open
Folded flaps
Bent/Damaged flaps
Carton will not open
Folded flaps
Poor ink adhesion
Off color
Carton will not open
Off color
Carton will not open
Folded flaps
Bent/Damaged flaps
Carton will not open
Bent/Damaged flaps
Carton will not open
Poor ink adhesion
Folded flaps
Carton will not open
Poor ink adhesion
Poor ink adhesion
Bent/Damaged flaps
Oil spots
Folded flaps
Folded flaps
Folded flaps
Carton will not open
Folded flaps
Off color
Carton will not open
Bent/Damaged flaps
Bent/Damaged flaps
Carton will not open
Folded flaps
Off color
Carton will not open
Carton will not open
Bent/Damaged flaps
Off color
Poor ink adhesion
Bent/Damaged flaps
Poor ink adhesion
Folded flaps
Bent/Damaged flaps
Folded flaps
Fisheye
Ink smears/streaks
Folded flaps
Bent/Damaged flaps
Folded flaps
Carton will not open
Off color
Poor ink adhesion
Fisheye
Folded flaps
Poor ink adhesion
Carton will not open
Carton will not open
Folded flaps
Bent/Damaged flaps
Carton will not open
Missing color
Bent/Damaged flaps
Folded flaps
Poor ink adhesion
Bent/Damaged flaps
Carton will not open
Carton will not open
Off color
Bent/Damaged flaps
Folded flaps
Fisheye
Folded flaps
Folded flaps
Ink smears/streaks
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Folded flaps
Ink smears/streaks
Folded flaps
Folded flaps
Folded flaps
Poor ink adhesion
Folded flaps
Folded flaps
Folded flaps
Bent/Damaged flaps
Folded flaps
Off color
Folded flaps
Bent/Damaged flaps
Poor ink adhesion
Folded flaps
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Folded flaps
Oil spots
Bent/Damaged flaps
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Oil spots
Folded flaps
Folded flaps
Carton will not open
Bent/Damaged flaps
Bent/Damaged flaps
Oil spots
Bent/Damaged flaps
Bent/Damaged flaps
Ink smears/streaks
Carton will not open
Folded flaps
Carton will not open
Poor ink adhesion
Folded flaps
Ink smears/streaks
Folded flaps
Carton will not open
Fisheye
Ink smears/streaks
Off color
Poor ink adhesion
Poor ink adhesion
Bent/Damaged flaps
Carton will not open
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Folded flaps
Poor ink adhesion
Carton will not open
Carton will not open
Ink smears/streaks
Folded flaps
Ink smears/streaks
Carton will not open
Ink smears/streaks
Carton will not open
Folded flaps
Poor ink adhesion
Folded flaps
Carton will not open
Carton will not open
Off color
Poor ink adhesion
Poor ink adhesion
Mislabeled
Off color
Fisheye
Ink smears/streaks
Folded flaps
Folded flaps
Carton will not open
Oil spots
Ink smears/streaks
Ink smears/streaks
Ink smears/streaks
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Bent/Damaged flaps
Bent/Damaged flaps
Carton will not open
Undercount
Carton will not open
Oil spots
Bent/Damaged flaps
Carton will not open
Off color
Oil spots
Bent/Damaged flaps
Carton will not open
Folded flaps
Ink smears/streaks
Folded flaps
Mislabeled
Oil spots
Folded flaps
Bent/Damaged flaps
Carton will not open
Folded flaps
Carton will not open
Folded flaps
Poor ink adhesion
Missing color
Folded flaps
Off color
Folded flaps
Folded flaps
Missing color
Off color
Ink smears/streaks
Ink smears/streaks
Carton will not open
Poor ink adhesion
Carton will not open
Bent/Damaged flaps
Ink smears/streaks
Bent/Damaged flaps
Folded flaps
Folded flaps
Carton will not open
Folded flaps
Carton will not open
Off color
Bent/Damaged flaps
Bent/Damaged flaps
Bent/Damaged flaps
Mislabeled
Folded flaps
Carton will not open
Bent/Damaged flaps
Fisheye
Bent/Damaged flaps
Off color
Carton will not open
Off color
Carton will not open
Bent/Damaged flaps
Off color
Oil spots
Carton will not open
Folded flaps
Folded flaps
Off color
Folded flaps
Bent/Damaged flaps
Carton will not open
Fisheye
Bent/Damaged flaps
Folded flaps
Bent/Damaged flaps
Off color
Bent/Damaged flaps
Off color
Off color
Bent/Damaged flaps
Off color
Missing color
Bent/Damaged flaps
Missing color
Bent/Damaged flaps
Bent/Damaged flaps
Bent/Damaged flaps
Carton will not open
Off color
Carton will not open
Folded flaps
Folded flaps
Damaged Pallet
Bent/Damaged flaps
Bent/Damaged flaps
Folded flaps
Ink smears/streaks
Missing color
Carton will not open
Folded flaps
Bent/Damaged flaps
Off color
Oil spots
Carton will not open
Bent/Damaged flaps
Folded flaps
Bent/Damaged flaps
Poor ink adhesion
Carton will not open
Oil spots
Missing color
Bent/Damaged flaps
Bent/Damaged flaps
Damaged Pallet
Folded flaps
Folded flaps
Carton will not open
Bent/Damaged flaps
Carton will not open
Folded flaps
Folded flaps
Folded flaps
Folded flaps
Off color
Folded flaps
Folded flaps
Off color
Bent/Damaged flaps
Off color
Folded flaps
Bent/Damaged flaps
Fisheye
Carton will not open
Carton will not open
Folded flaps
Bent/Damaged flaps
Poor ink adhesion
Carton will not open
Carton will not open
Undercount
Poor ink adhesion
Poor ink adhesion
Carton will not open
Carton will not open
Oil spots
Poor ink adhesion
Oil spots
Bent/Damaged flaps
Folded flaps
Folded flaps
Folded flaps
Folded flaps
Missing color
Folded flaps
Ink smears/streaks
Carton will not open
Carton will not open
Ink smears/streaks
Folded flaps
Carton will not open
Folded flaps
Bent/Damaged flaps
Bent/Damaged flaps
Folded flaps
Folded flaps
Bent/Damaged flaps
Carton will not open
Bent/Damaged flaps
Bent/Damaged flaps
Poor ink adhesion
Bent/Damaged flaps
Carton will not open
Carton will not open
Folded flaps
Poor ink adhesion
Carton will not open
Poor ink adhesion
Bent/Damaged flaps
Bent/Damaged flaps
Bent/Damaged flaps
Poor ink adhesion
Folded flaps
Folded flaps
Folded flaps
Fisheye
Bent/Damaged flaps
Carton will not open
Folded flaps
Folded flaps
Folded flaps
Folded flaps
Bent/Damaged flaps
Carton will not open
Ink smears/streaks
Bent/Damaged flaps
Off color
Folded flaps
Carton will not open
Bent/Damaged flaps
Folded flaps
Carton will not open
Folded flaps
Damaged Pallet
Folded flaps
Folded flaps
Oil spots
Defects
1st shift
2nd shift 3rd shift Total
Too Short
30
35
26
91
Too long
44
44
44
132
Missing threads
10
69
70
149
Leaks
330
321
347
998
Damaged
8
11
5
24
Other
22
20
13
55
Total
444
500
505
O.K.
4508
4495
4481
13484
Billing Error
Incorrect amount
Wrong Customer
Boulble billing
Billing for Unordered Goods
Late Billing
Number
12
3
4
16
5
Software
Abnormal End
Address Error
Incorrect Output
Infinite Loop
Error Message
Endless Wait
Symptom
5
5
53
9
0
29
Allocation Mgt
Copying Overrun
Pointer Mgt
Register Reused
Uninitialized Ptr
Type Mismatch
Undefined State
Unknown
Synchronization
Boundary Condition
Bug Fix
Customer Code
Recovery
No Trigger
Timing
Unknown
Requirements
Design
Code
User manuals
Bad Fixes
Defects/Function Point
1.00
1.25
1.75
0.60
0.40
Page 26
A
B
C
D
E
F
Accidents by Department
5
29
7
3
35
7
1
2
3
4
5
6
7
8
9
10
11
13
15
17
18
21
24
26
Accidents by Category
Data Sanity, Davis Balestracci
4
2
19
1
13
3
7
1
1
5
1
1
6
1
2
5
3
2
Balestracci
NASA Expenditures
Orbiter and Integration
724.5
External Tank
349.7
Main Engine
261.9
Reusable Solid Rocket Motor
418.3
Solid Rocket Booster
137.5
Mission Launch Operations
780.9