http://www.ihi.org/resources/Pages/Tool/FailureModesandEffectsAnalysisTool.aspx
Identify a breakdown or imminent breakdown in clinical practice-
Review the class resources for examples that may apply to current practice and describe a high risk situation or risk for error in a case study format.
Identify the type, frequency and repetition of the problem as you can best determine from the literature.
You can use the same topic as your formal paper if that works for you – no need to recreate the wheel
Complete a Failure Mode Effect Analysis-
Purpose: The project will give the student, the opportunity to reflect on examining human factors and other theories of error and also to actively participate in analyzing prior and high-risk situation and designing systems improvement.
Students learn to value standardization and reliability as a safety strategy, value the impact of error on patient, families and health care professionals.
The student will complete a Power-Point presentation based on the following objectives:
Examine the safety related literature and web sites.
Examine The Joint Commission’s current Patient Safety Goals and AHRQ’s Patient Safety Indicators.
Develop a working knowledge of the safety indicators.
Analyze the identified issue using the FMEA process for implementation of the current work environment.
Reflect on their learning.
