| A | B |
|---|
| FMEA | Failure Mode and Effects Analysis |
| Failure Mode and Effects Analysis doesn't deal with | cost of rectifying the cause |
| Failure Mode & Effects Analysis includes | categories ranked by potential effect, severity of effect, potential cause & probability of occurrence & detection severity |
| Failure Mode & Effects Analysis ranks categories in severity | from 1 to 10 |
| In Failure Mode & Effects Analysis the categories are placed in | descending order to begin the brainstorming portion of problem-solving process |
| Healthcare risk management assessment begins with | reviewing the incident report |
| root-cause analysis used to | identify the cause of the sentinent and near miss events, evaluate patient safety, answer the "why" questions |
| NPS | National Patient Safety |
| NPS goals | established by JC in 2002, implemented in 2003 |
| NPS goals are | uniform, realistic, specific |
| NPS goals are set how often | annually |
| near-miss event | does NOT result in death |
| sentinel even | may result in death |
| studying this CPHQ information | is not very exciting but will not result in death |
| a near-miss event is not an accident because it is | an avoided incident |
| a near-miss event is not necessarily a result of | negligence (could be result of unforeseeable circumstances) |
| near-miss and sentinel events are reported to | The Joint Commission |
| Failure Mode and Effect Analysis is primarily | outcome based |
| seeks to uncover ways that business leaders can most effectively operationalize the effors of frontline staff | Failuire Mode and Effect Analysis (FMEA) |
| 1970's | need for more extensive medical record keeping increased during this time period |
| most problematic issues of EHR caused by | human errors |
| human errors w/EHR may cause a problem because | information etnered inaccuratelyk or omitted has the potential to harm a patient |
| nursery | hospital area requiring extra safety & security measures |
| Six Sigma | this methodology says that any deviation from the standard process typically results in higher risk |
| 5 S | an organizational tool used in Lean |
| Lean | specifically focuses on reducing waste |
| factors in high reliability organization | loyalty in adversity, outcome-focused approach, reliance on practical experience, emphasis on operationalized definitions of expected outcomes & deeper -dive perspective on unexpected problems |
| risk managers evaluate | potential for harm, outcomes of events & patient safety |
| systems thinking uses | cognitive mapping |
| cognitive mapping | used by systems thinking to represent physical locations |
| Six Sigma format that targets current processes | define, measure, analyze, improve and control |
| DMAIC is part of | Six Sigma |
| define, measure, analyze, improve and control is | DMAIC |
| human-factors engineering | field combines technological advances in healthcare with the specific needs of humans in mind |
| devices and tehcnologies based in the physical and psycho,ogical needs of those who use them | human-factors engineering |
| benefits of High Reliability approach to risk management | reliance on practical experience, loyalty in adversity and an outcome-focused approach |
