POTENTIAL PROBLEM ANALYSIS

Emergency Room Department

SUPPORT SUPPORT
KEY PROCESS POTENTIAL MOST LIKELY CAUSE PREVENTIVE DOCUMENTATION/ CONTINGENT DOCUMENTATION/
PROBLEM ACTION RECORDS USED ACTION RECORDS USED

Absconded Patient leaves -Additional costs to -Strategies to Tools to identify -Report -Missing patient
ER without the Hospital and the identify potential immediately to procedure and flow
informing staff patient Potential absconders: the security chart.
Absconded 1.middle-aged guard regarding
-Increase 2.male the missing -incident report
Responsibility and -Include 3.uninsured patient.
workload of hospital Emergency 4.admitted recently
staff Person and -Regular
contact number monitoring of
-Treatment failure of the personal the area
information
-Uninsured chart. -Educating the
patient and
-Financial relatives the risk
Problem/Constraints of absconding
(consequences
-Loss of Confidence of absconding)
to the service of the
Hospital

-Suicide and Self

harm
 KEY PROCESS POTENTIAL MOST LIKELY PREVENTIVE SUPPORT CONTINGENT SUPPORT
PROBLEM CAUSE ACTION DOCUMENTATION/ ACTION DOCUMENTATION/
RECORDS USED RECORDS USED
Overcrowding Hospital -Manpower -Additional -Improved ER flow -Pull in of staff to -Staff schedule plan
congestion, no shortage manpower chart ER
space left to -Patient allocation
meet timely -Bed crisis -Bed -Training program -Improved and logbook
needs of the next management regarding triaging. effective
patient. -Unnecessary communication -Communication
visits -Trained provider -Triage ESI category with in the logbook with the
at triage area chart internal internal
-Seasonal illness departments departments.

-Increasing
weekend
discharges can
substantially
increase bed
available capacity
as the week
begins.
Equipment Risk of nurse -Improper use of -Training Competency -Continuous -Equipment
related injury injuries equipment program manual book training of staff logbook/ checklist
regarding proper
-Lack of training use of equipment -Familiarity of the -Competency
proper placing of manual book.
-Falling objects -Safety the equipment
such as medical precaution from including proper
instruments. the instruments. labeling

-Proper placing
of the
equipment.
 KEY PROCESS POTENTIAL MOST LIKELY PREVENTIVE SUPPORT CONTINGENT SUPPORT
PROBLEM CAUSE ACTION DOCUMENTATION/ ACTION DOCUMENTATION/
RECORDS USED RECORDS USED
Overstaying of Hospital Delay diagnostic Bed management ER flow chart Fast and reliable ER policy and flow
patient congestion result management chart
Proper Triage ESI actions every ESI
Lack of bed Number of categorization of category (Doctors ESI system
availability patients entering each patient and nurses)
ER department depending [on
ESI Triage nurse
should be trained
and must be a
senior staff

Strictly
adherence to ESI
time span
Staffing Lack of Poor staffing plan Advance notice Leave form Staffing
manpower about leave Plan
Sudden Shift staffing plan
emergency/ Good scheduling Code of conduct
vacation/ sick plan
leave