Institute for Healthcare Improvement: Failure Modes and Effects Analysis Tool Report

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This page shows the FMEA Tool Report created by a specific organization or individual — including (in a separate browser window) the detailed FMEA that outlines the steps in the process; the failure modes, causes, and effects for each step; and the Risk Priority Number (RPN) for each step, each associated failure mode, and the entire process. In addition, the graph tracks the RPN for the process over time to see if the changes you are making are leading to improvement.

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		Medicines Reconciliation at end of life

			Sunderland Teaching Primary Care Trust Sunderland, Tyne & Wear, United Kingdom-England Hospital-Other

Aim: To reduce the RPN for the medines reconciliation process in a hospice inpatient unit by 50% in 3 months

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Annotations

1	obselete documents deleted from server
2	Reception staff education and awareness raised
3	Medical and nursing staff who accept referrals education and awareness raised
4	Visual display of consecutive admissions with MR completed PLUS notice reminding staff to request in advance GP summary for weekend admissions
5	requesting GP summary is now part of routine practice
6	MR becoming part of routine practice
7	MR becoming part of routine practice
8	MR embedded in practice, defects recognised and mitigated early, raised awareness

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