Failure Modes Effects Analysis (FMEA) Process Failure Mode Cause Effect Occurrence Detection Severity RPN Actions Step Rating Rating Rating Developing Most current Continual Patient does not 3 6 6 108 Review teaching Educational data supplied change in get current, materials quarterly to Information with community pertinent ensure they are current appropriate resources information and up to date. contact numbers Educating Education is Different Patient does not 5 4 6 120 Ice breaker at Case not fully styles of get current, beginning of course understood/ learning pertinent including evaluation of implemented information learning style to ensure Planners staff needs are met. Educating Education is Fear of Patient does not 5 7 6 210 Audits of compliance Case not fully change/ get current, with education material understood/ comfort with pertinent and community implemented current information resource information Planners practice by case managers/ discharge planners Educating Education Timing of the Patient does not 5 7 6 210 Ensure a systemized patients of provided by educational get current, education program is fall discharge sessions, pertinent established during the prevention planners/case clarity of the information education sessions with in the home managers is education the discharge planners/ setting not understood material, case managers. verbalization of understanding the material does not occur
Failure Modes Effects Analysis (FMEA) Process Step Failure Mode Cause Effect Occurrence Rating Detection Rating Severity Rating RPN Actions Developing Educational Information Most current data supplied with appropriate contact numbers Continual change in community resources Patient does not get current, pertinent information 3 6 6 108 Review teaching materials quarterly to ensure they are current and up to date. Educating Case Planners Education is not fully understood/ implemented Different styles of learning Patient does not get current, pertinent information 5 4 6 120 Ice breaker at beginning of course including evaluation of learning style to ensure staff needs are met. Educating Case Planners Education is not fully understood/ implemented Fear of change/ comfort with current practice by case managers/ discharge planners Patient does not get current, pertinent information 5 7 6 210 Audits of compliance with education material and community resource information Educating patients of fall prevention in the home setting Education provided by discharge planners/case managers is not understood Timing of the educational sessions, clarity of the education material, verbalization of understanding the material does not occur Patient does not get current, pertinent information 5 7 6 210 Ensure a systemized education program is established during the education sessions with the discharge planners/ case managers.