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Once the subject of the FMEA is decided the next step is to recruit the members of the multidisciplinary team. Not all members will participate in every aspect of the FMEA but should be included for any parts they are involved with.As part of step three the team-members need to be very specific in numbering each step of the process. The number of steps in the process being analyzed may include many “hidden” steps that direct care aren’t aware about which reinforces the need for the team to be multi-disciplinary. Flowcharts can be helpful in visualizing each step. The team will review the order of steps and arrive at a consensus that there are no missed steps of the process and that they are in the correct order.After a consensus has been reached step four can begin. During this step of the FMEA, each individual step of the process being evaluated is reviewed for “failure modes” – anything that could go wrong, including minor and major problems. For each failure mode that is listed, identify all possible causes [Ins1]. The fifth step is assigning a numeric value, known as the Risk Priority Number (RPM), for the likelihood of occurrence, likelihood of detection, and severity [Ins1]. The scale is from 1-10 for each category, with 1 being very unlikely to occur, be detected, to cause harm, and 10 being very likely to occur, be detected, cause sever harm, respectively. This numeric assigning assists the team in prioritizing areas that require additional focus.Calculating the Risk Profile Number for each failure mode is the sixth step. To calculate this number, multiply the three scores for each failure mode. For example, if a failure mode was “wrong dose of medication given” has a 3 for likelihood, a 2 for detection, and a 7 for severity,
C489 - Organizational Systems Task 29the Risk Profile Number would be 42. The Risk Profile Number scale is 1-1000, with 1000 beingthe highest risk. Once all failure modes Risk Profile Numbers have been calculated, focus on the top highest Risk Profile Numbers, as these should be the ones the team focuses on for opportunities to improve.The final step of a FMEA is create action plans that reduce harm from failure modes. Review the highest RPM for each failure mode and focus the action plan to reducing the severity.A FMEA may also evaluate what impact a potential change may have on the Risk Profile Number before implementation. Improvement goals should be set and follow up comparisons with the original FMEA scores can indicate whether the goals are being met.C2. FMEA TableSee additional attachments.D. Intervention TestingThe method I would use to test the interventions would be Plan, Do, Study, Act (PDSA). The PDSA method involves creating a plan on what intervention is to be tested, when the test will begin, whom it will be tested on, what the expected outcome should be, and what data needsto be collected to prove effectiveness in step one, Plan. The second step is Do and that’s when the test will happen. The test should be small in size and any unexpected observations or issues