scholarly journals Effectiveness Of Failure Modes Effect Analysis (FMEA)

2017 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
Putri Ingen Setiasih ◽  
Purnawan Junadi
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Failure Modes ◽  
Service Process ◽  
Online Database ◽  
Effect Analysis ◽  
Potential Failure ◽  
Publication Period

Objective : One of the prevention efforts of medical errors that occur in health services is by identifying the potential failure of the service before the failure occurs. FMEA is one way to identify the risks of failure. Therefore, the authors wanted to find out whether FMEA was effective for reducing Medical error based on previous studies.Method: This article was a literature review using references in an online database such as EBSCOhost. The author found 280 articles while searching by using the keyword "FMEA". After filtered by publication period from 2012 to 2017, fulltext and language, finally got 7 articles. Finally, the author used the three most relevant literature.Result: FMEA is proven to decrease potential failure rate after follow-up to failure was done in service process, so medical error can be prevented. In the application of FMEA, bias can occur during the determination of potential failure and determination of scoring on RPN. Therefore, it is expected that the team involved in making FMEA experts in the process of service to be designed.Conclusion: FMEA could prevent medical errors by determining potential failure and following up on potential failure before failure occurs.Keywords: FMEA, healthcare, medical error.

Reliability Evaluation for Steam Generator in a Sodium-Cooled Fast Reactor

2018 ◽  
Author(s):  
Huang Yi ◽  
Zhang Tian-yi ◽  
Wang Jun ◽  
Yuan Yu-chen ◽  
Dong Xin
Keyword(s):  
Steam Generator ◽  
Fast Reactor ◽  
Failure Modes ◽  
Latin Hypercube Sampling ◽  
Effect Analysis ◽  
Quantitative Calculation ◽  
Sensitive Factor ◽  
Potential Failure ◽  
Failure Mode Effect Analysis

SG (steam generator) is one of the most important equipment in fast reactors, the experience in design and operation of fast reactor worldwide show that failures of SG occurred frequently and often caused serious consequences, therefore it’s necessary to conduct reliability analysis on SG in design phase. FMEA (Failure Mode Effect Analysis) is used to identify all potential failure modes and filter out main failure modes. Then, qualitative analysis and quantitative calculation are carried out to evaluate main failure modes. Next, reliability of SG can be obtained by conducting Latin Hypercube Sampling. Analysis results show that the leakage probability of SG in 20 years is 0.130 219, and the most sensitive factor is the quality of weld in the junction of tubes and tube plate, and the SG meet its reliability requirement.

Failure Mode and Effect Analysis (FMEA) for Enhancing Reliability of Water Tube Boiler in Thermal Power Plant

2016 ◽  
Vol 8 (02) ◽  
pp. 79-86
Author(s):  
Kapil Dev Sharma ◽  
Shobhit Srivastava
Keyword(s):  
Power Plant ◽  
Failure Mode ◽  
Thermal Power Plant ◽  
Failure Modes ◽  
Thermal Power ◽  
Effect Analysis ◽  
Water Tube ◽  
Potential Failure ◽  
Fmea Method ◽  
Continuous Power

Failure mode and effect analysis is one of the QS-9000 quality system requirement supplements, with a wide applicability in all industrial fields. FMEA is the inductive failure analysis instruments which can be defined as a methodical group of activities intended to recognize and evaluate the potential failure modes of a product/ process and its effects with an aim to identify actions which could eliminate or reduce the chance of the potential failure before the problem occur. The purpose of this paper is to evaluate the FMEA research and application in the Thermal Power Plant Industry. The research will highlight the application of FMEA method to water tubes (WT) in boilers with an aim to find-out all the major and primary causes of boiler failure and reduce the breakdown for continuous power generation in the plant. Failure Mode and Effect Analysis technique is applied on most critical or serious parts (components) of the plant which having highest Risk Priority Number (RPN). Comparison is made between the quantitative results of FMEA and reliability field data from real tube systems. These results are discussed to establish relationships which are useful for future water tube designs.

scholarly journals Identifikasi Potensi Modus Kegagalan Yang Dapat Menghambat Kelancaran Proses Pelayanan Rawat Jalan Menggunakan Failure Mode Effect Analysis (FMEA) Di Rumah Sakit BM Jakarta Barat

2020 ◽  
Vol 8 (2) ◽  
pp. 105-113
Author(s):  
Achmaddudin Sudiro
Keyword(s):  
Failure Mode ◽  
Failure Modes ◽  
Outpatient Service ◽  
Outpatient Services ◽  
Effect Analysis ◽  
Outpatient Unit ◽  
Mode Effect ◽  
Potential Failure ◽  
Fmea Method ◽  
Failure Mode Effect Analysis

Outpatient services hosted by the hospital have never been absent from public visits. In fact, every year an outpatient visitor is always increasing. This research intends to identify potential failure mode that can  inhibit of every flow of service in the outpatient care unit using the Failure Mode Effect Analysis (FMEA) method. Qualitative research plan using an observation survey approach and in-depth interviews with the outpatient service head Coordinator conducted in February 2020 on the hospital outpatient unit service process. The results of this study Indicate the potential failure mode that has the value of the RPN above the value of cut off point 180 as many as six out of ten failure modes. Firstly, the check is not on schedule (360), secondly, the patient lags a turn call order Check (270), third, Specific drug failure is not available (245), fourth, general patient protests with the price of the drug (224), fifth, the patient is void to poly (196), the sixth patient registrant online missed sequence number queue (180). Based on the results of the research, hospitals are expected to follow up with the results of this research by conducting a redesign of the process that occurs today using the FMEA to maintain service quality.

A methodology for risk-based inspection of pressurized systems

1998 ◽  
Vol 212 (1) ◽  
pp. 37-47 ◽  
Author(s):  
P M Hagemeijer ◽  
G Kerkveld
Keyword(s):  
Failure Modes ◽  
Operating Conditions ◽  
Operating Costs ◽  
Base Line ◽  
Equipment Failure ◽  
Acceptance Limits ◽  
Potential Failure ◽  
Inspection And Maintenance ◽  
Managing Risk

This paper describes a methodology for risk-based inspection and focuses on the planning of inspection activities. Brunei Shell Petroleum (BSP) operates a large number of ageing production and evacuation facilities in the South China Sea, and is facing the challenge to identify the optimal inspection effort in a period of time when more production is required and operating costs have to be minimized. Since 1989 major investments (annual costs about 15 million US$) were made to perform base line inspections which resulted in corrective work and a large repository of equipment integrity data. These data require analysis and updating, as defined in this methodology. The challenge is for BSP to implement risk-based inspection of static equipment, which so far has been very successful. The methodology is based on the determination of risk by evaluating the consequences and the likelihood of equipment failure. Likelihood of failure is assessed, by means of extrapolation, at the future planned maintenance campaign to identify the necessary corrective work. The extrapolation is based on historical inspection and maintenance data as well as on anticipated future operating conditions. Such an analysis requires in-depth knowledge of the equipment regarding functions, operating conditions, materials, imposed potential failure modes and causes, and their controlling parameters (integrity parameters). The novelty of the method is that equipment integrity is expressed in terms of integrity parameters, which can be measured and trended. Consequently, based on defined limits for the integrity parameters (i.e. anomaly classifications), actions for managing risk to an acceptable low level can be identified. The transparent linkage between monitoring activities (e.g. inspection) and integrity parameters offers an effective framework to manage and to demonstrate integrity against clear quantifiable acceptance limits. By pursuing the above methodology for all equipment, a list of inspection activities, prioritized on equipment condition and the risk of failure, can be derived. Within BSP this has resulted in a demonstrated increased efficiency of the inspection effort, a focused strategy for repairs executed on a campaign basis, and an improved quantification of BSP's facilities integrity. The approach has been proven in the company to be practical and it can be implemented relatively quickly.

scholarly journals Proactive risk assessment of vincristine use process in a teaching and referral hospital in Kenya and the implications

2019 ◽  
Vol 26 (3) ◽  
pp. 666-679 ◽  
Author(s):  
Emmanuel K Kurgat ◽  
Irene Weru ◽  
David Wata ◽  
Brian Godman ◽  
Amanj Kurdi ◽  
...  
Keyword(s):  
Failure Modes ◽  
Single Point ◽  
Referral Hospital ◽  
Control Measures ◽  
Flow Diagram ◽  
Effect Analysis ◽  
Middle Income ◽  
Middle Income Countries ◽  
Potential Failure ◽  
And Storage

Introduction The chemotherapy use process is potentially risky for cancer patients. Vincristine, a “High Alert” medicine, has been associated with fatal but preventable medication errors. Consequently, there is a need to improve the use of vincristine especially in lower- and middle-income countries where there are constraints with resources and often a lack of trained personnel to administer cancer medicines. However, where there is a rising prevalence of cancer cases. These concerns can be addressed by performing proactive risk assessments using Healthcare Failure Mode Effect Analysis (HFMEA) and implementing the findings. Methods A multidisciplinary health team driven by pharmacists identified and evaluated potential failure modes based on a vincristine use process flow diagram using a hazard scoring matrix in a leading referral hospital in Kenya. Results The processes evaluated were: prescribing, preparation and dispensing, transportation and storage, administration and monitoring of the use of vincristine. Seventy-seven failure modes were identified over the three-month study period, of which 25 were classified as high risk. Thirteen were adequately covered by existing control measures while 12 including one combined mode required new strategies. Two of the failure modes were single-point weaknesses. Recommendations were subsequently made for improving the administration of vincristine. Conclusions HFMEA is a useful tool to identify improvements to medication safety and reduction of patient harm. The HFMEA process brings together the multidisciplinary team involved in patient care in actively identifying potential failure modes and owning the recommendations made, which are now being actively followed up in this hospital. Pharmacists are a key part of this process.

scholarly journals Failure Mode and Effect Analysis (FMEA) for confectionery manufacturing in developing countries: Turkish delight production as a case study

2012 ◽  
Vol 32 (3) ◽  
pp. 505-514 ◽  
Author(s):  
Sibel Ozilgen
Keyword(s):  
Failure Mode ◽  
Failure Modes ◽  
Chemical Contamination ◽  
Risk Priority Number ◽  
Analysis Model ◽  
Production Potential ◽  
Effect Analysis ◽  
Potential Failure

The Failure Mode and Effect Analysis (FMEA) was applied for risk assessment of confectionary manufacturing, in whichthe traditional methods and equipment were intensively used in the production. Potential failure modes and effects as well as their possible causes were identified in the process flow. Processing stages that involve intensive handling of food by workers had the highest risk priority numbers (RPN = 216 and 189), followed by chemical contamination risks in different stages of the process. The application of corrective actions substantially reduced the RPN (risk priority number) values. Therefore, the implementation of FMEA (The Failure Mode and Effect Analysis) model in confectionary manufacturing improved the safety and quality of the final products.

Study about Improving the Quality Process Performance for a Steel Structures Components Assembly Using FMEA Method

2016 ◽  
Vol 822 ◽  
pp. 429-436 ◽  
Author(s):  
Cristina Ileana Pascu ◽  
Daniel Paraschiv
Keyword(s):  
Failure Modes ◽  
Action Plan ◽  
Steel Structures ◽  
Maintenance Program ◽  
Working People ◽  
Potential Failure ◽  
Fmea Method ◽  
Quality Of Products

Analysis of failure modes and effects (FMEA) is a method of analyzing the potential failure of a product or process, to develop an action plan aimed at their prevention and increased quality of products, processes and job production environments. As a method of critical analysis, FMEA has very clear objectives aimed at: determination of the weaknesses of a technical system; initiating causes of failure-seeking components; analysis environmental impacts, safety of operation, the product value; provision of corrective actions to remove the causes of the occurrence of defects; provision of a plan to improve product quality and maintenance; determining the needs of technology and modernization of production; increasing the level of communication between departments working people hierarchical levels. FMEA should be used before taking the product. There is no point subsequently, only because customer demands, to achieve FMEA. Therefore, FMEA must be within organizational conduct. Using timely analysis FMEA - Process avoid costly modifications of the technological achievement assembly "stator Housing" by identifying potential defects, avoidance and risk and potential consequences of faults. We studied the potential causes of defects and have proposed improvements. Among these are: implementing and tracking preventive maintenance program; providing specific compliance welding; acquisition of a specialized table seating and download the blank; purchasing a scarfing machine.

scholarly journals Risk Reduction of Healthcare Workers’ Exposure to COVID-19 using Failure Mode and Effect Analysis

2021 ◽  
Vol 8 (7) ◽  
pp. 436-445
Author(s):  
Humberto Guanche Garcell ◽  
Farid Ahmad Sohail ◽  
Tania M Fernandez Hernandez
Keyword(s):  
Infection Control ◽  
Failure Mode ◽  
Failure Modes ◽  
Risk Mitigation ◽  
Mitigation Strategies ◽  
Mitigation Measures ◽  
Risk Environment ◽  
Effect Analysis ◽  
Wide Range ◽  
Potential Failure

Background: The exposure to COVID-19 by staff has a major impact on healthcare system. Objective: identify potential failures related to the exposure of HCWs to COVID-19, evaluate the potential causes and effects, and the actions to mitigate the risk of exposure. Methods: Members of the infection control department, quality department, nursing department, and medical administration were selected as team members to conduct the Failure Mode and Effect Analysis (FMEA). The identification of potential failure modes, causes and effects was conducted in consecutive meetings. Accordingly, were identified actions to reduce the staff exposure to COVID-19. Results: The description of the complex process was conducted including the potential in-hospital and hospital-community interaction for transmission of infection to staff. In eight areas were identified 20 potential failure modes: Hand hygiene, personal protective equipment, detection of sick staff, exposure in common areas, hiring new staff, staff living conditions, and staff knowledge, skill, and perceptions about all other infection control practices. The highest ranked priorities were identified including improper PPE use (556 points), late detection of sick staff (520 points), and poor compliance with infection control practices in common areas (436 points) respectively. The mitigation strategies focused on a wide range of actions to improve the staff education, improve practices and procedures, monitor practices and feedback to staff in a continuous quality improvement cycle. Conclusion: Data presented provides a comprehensive evaluation of the risks and mitigation measures to prevent the staff exposure to COVID-19 conducted in a high-risk environment by a qualified FMEA team. Keywords: failure modes and effect analysis; quality management; risk mitigation; staff exposure; COVID-19; Qatar;

Healthcare failure mode and effect analysis in the chemotherapy preparation process

2020 ◽  
pp. 107815522096218
Author(s):  
Cristina Pueyo-López ◽  
Marina Sánchez-Cuervo ◽  
Manuel Vélez-Díaz-Pallarés ◽  
Teresa Ortega-Hernández-Agero ◽  
Esther Gómez de Salazar-López de Silanes
Keyword(s):  
Failure Mode ◽  
Failure Modes ◽  
Hazard Analysis ◽  
Action Plan ◽  
Healthcare Setting ◽  
Control Measures ◽  
Preparation Process ◽  
Effect Analysis ◽  
Bar Code ◽  
Potential Failure

Purpose To conduct a Health Care Failure Mode and Effects Analysis (HFMEA) of the chemotherapy preparation process to identify the steps with the potential to cause errors, and to develop further strategies to improve the process and thus minimize the risk of errors. Methods An HFMEA was conducted to identify and reduce preparation errors during the chemotherapy preparation process. A multidisciplinary team mapped the preparation process, formally identified all the steps, and then conducted a brainstorming session to determine potential failure modes and their potential effects. A severity and probability score for each failure mode, a hazard score (HS) and a total HS were calculated. A hazard analysis was conducted for each HS equal to or more than 8. Finally, an action plan was identified for each failure mode. After the action plan was implemented, failure modes were revaluated and a new HS score was calculated as well as the percentage decrease in risk. Results The team identified five main steps in the chemotherapy preparation process and nine potential failure modes. After implementing the control measures, all the HSs decreased. The total HS associated with the chemotherapy preparation process decreased from 54 to 26 (-52%). This reduction in the total HS was mainly achieved by updating the Standard Operating Procedures (SOPs) and implementing bar code and gravimetric control system. Conclusion The application of HFMEA to the chemotherapy preparation process in centralized chemotherapy units can be very useful in identifying actions aimed at reducing errors in the healthcare setting.

scholarly journals Peran Pasien Dan Keluarga Sebagai Partner di Pelayanan Kesehatan Untuk Mencegah Terjadinya Bahaya Dan Adverse Events

2020 ◽  
Author(s):  
Maulidya Nabila
Keyword(s):  
Adverse Event ◽  
Adverse Events ◽  
Medical Errors ◽  
Medical Error ◽  
Underlying Disease ◽  
Near Miss ◽  
Institute Of Medicine

Hampir setiap tindakan medis menyimpan potensi resiko. Banyaknya jenis obat, jenis pemeriksaan dan prosedur, serta jumlah pasien dan staf Rumah Sakit yang cukup besar, merupakan hal yang potensial bagi terjadinya kesalahan medis (medical errors).Menurut Institute of Medicine (1999), medical error didefinisikan sebagai: The failure of a planned action to be completed as intended (i.e., error of execusion) or the use of awrong plan to achieve an aim (i.e., error of planning). Artinya kesalahan medis didefinisikan sebagai: suatu Kegagalan tindakan medis yang telah direncanakan untuk diselesaikan tidak seperti yang diharapkan (yaitu., kesalahan tindakan) atau perencanaanyang salah untuk mencapai suatu tujuan (yaitu., kesalahan perencanaan). Kesalahan yangterjadi dalam proses asuhan medis ini akan mengakibatkan atau berpotensimengakibatkan cedera pada pasien, bisa berupa Near Miss atau Adverse Event (KejadianTidak Diharapkan/KTD).Near Miss atau Nyaris Cedera (NC) merupakan suatu kejadian akibat melaksanakan suatu tindakan (commission) atau tidak mengambil tindakan yang seharusnya diambil (omission), yang dapat mencederai pasien, tetapi cedera serius tidak terjadi, karenakeberuntungan (misalnya, pasien terima suatu obat kontra indikasi tetapi tidak timbul reaksi obat), pencegahan (suatu obat dengan overdosis lethal akan diberikan, tetapi staflain mengetahui dan membatalkannya sebelum obat diberikan), dan peringanan (suatu obat dengan overdosis lethal diberikan, diketahui secara dini lalu diberikan antidotenya). Adverse Event atau Kejadian Tidak Diharapkan (KTD) merupakan suatu kejadianyang mengakibatkan cedera yang tidak diharapkan pada pasien karena suatu tindakan (commission) atau tidak mengambil tindakan yang seharusnya diambil (omission), dan bukan karena “underlying disease” atau kondisi pasien.Kesalahan tersebut bisa terjadi dalam tahap diagnostik seperti kesalahan atauketerlambatan diagnosa, tidak menerapkan pemeriksaan yang sesuai, menggunakan cara pemeriksaan yang sudah tidak dipakai atau tidak bertindak atas hasil pemeriksaan atauobservasi; tahap pengobatan seperti kesalahan pada prosedur pengobatan, pelaksanaanterapi, metode penggunaan obat, dan keterlambatan merespon hasil pemeriksaan asuhanyang tidak layak; tahap preventive seperti tidak memberikan terapi provilaktik serta monitor dan follow up yang tidak adekuat; atau pada hal teknis yang lain seperti kegagalan berkomunikasi, kegagalan alat atau system yang lain. Oleh karena itu, diperlukannya peran dari anggota keluarga pasien, sehingga dapat meningkatkan keselamatan pasien di Rumah Sakit .

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