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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		Impact of Process Changes / CPOE

			Piedmont Hospital Atlanta, Georgia, United States Hospital-Community

Aim: To reduce the RPN for the medication ordering process by 50% in 12 months using CPOE

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Annotations

1	Baseline Paper Chart, Paper MAR
2	Implement Bar Code Scanning
3	Print Copy of Computer Generated MAR
4	Partial Implementation CPOE - no Meds Interface
5	CPOE with Complete Implementation / VOlunatary Use - No Interface
6	CPOE Voluntary (approx 70% use) Meds Interface operational

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