SAT1: Task 2 – RCA and FMEA FMEA Table

FMEA Table

Steps in the Failure Mode Likelihood of Likelihood of Severity Risk Priority Number
Improvement Occurrence Detection (1–10) (RPN)
Plan Process * (1–10) (1–10)

EXAMPLE: Wrong medication selected 3 5 5 75

Doctor orders
medication for
pain prior to
invasive
procedure.

Doctor orders Doctor may order second 2 5 9 90

IV opioid and dose of same medications
benzodiazepine before first has had time
to sedate to take full effect
patient prior to
procedure
Charge nurse to Nursing staff may fail to 3 3 8 72
follow follow conscious sedation
hospital’s fully
conscious-
sedation policy
Nurses to call Nursing staff may become 5 3 5 75
for increased distracted by work
staffing when overload and fail to call for
needed to backup staff
ensure safety
of high-risk
patients

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SAT1: Task 2 – RCA and FMEA FMEA Table

Nursing staff to Nursing staff may overlook 2 4 9 72

implement critical O2 sats, fail to
emergency implement emergency
measures for measures
dropping O2
sats in a timely
manner
Total RPN (sum of all
RPN’s): 309

*do not include more than four steps in the improvement plan process

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