while discussing results of the assessment with the physician and based on the results, the patient would be discharged. The three stages of the Lewin change theory model include unfreezing, change, and refreezing. When applying the three phases of Lewin’s change theory model to the proposed improvement plan, it is essential to know how to utilize the theory in the healthcare setting, in order to provide a high-level approach to making the change. In the unfreezing phase, the pros must outweigh the cons and those proposing the improvement plan should be prepared to help with the loosening of the attachment to the current practice (IHI, n.d.). In the unfreezing phase, the most important change in the improvement plan is members having effective communication amongst one another. There is a chain of command in the hospital, therefore any vital information pertaining to the patient would be communicated down the line of command. The licensed practical nurse would communicate to the registered nurse, and the registered nurse would perform her own assessment to communicate to the physician. The second phase of change could be applied to the improvement plan when the change has been implemented and the staff members are utilizing the communication techniques along with the added staff member resource while seeing the productivity and effectiveness of the change. There may need to be training in this phase as well. The third phase of refreezing could be applied to the improvement plan after the changes have been embraced and the changes become a normalized practice. In the refreezing phase a
RCA AND FMEA management team may revisit the old way of practice in conversation to explain why it was counterproductive and why the new approach works better (IHI, n.d.). The general purpose of FMEA is to have a system in place that identifies where a process might fail and to assess how those failures would interfere with the process. After identifying the potential failures, FMEA would propose changes to eliminate the possibility of those failures (IHI, n.d.). The steps of the FMEA process include these 10 steps: 1. Reviewing the process 2. Brainstorming potential failure modes 3. Listing potential effects of each failure 4. Assigning severity rankings 5. Assigning occurrence records 6. Assigning detection records 7. Calculating the RPN 8. Developing the action plan 9.
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- Fall '19
- Nursing, Registered nurse, RCA