FMEA study risk assessment study for clinical nutrition process in the private hospital
2014
Introduction and Purpose:We have analyzed the reporting process of nutritional assessment procedures. We used FMEA
technique in order to evaluate these procedures and we were able to reduce the risk potential to 45%. The purpose was to analyze
opportunities to decrease potential errors in nutritional assessment processes. The aim of this study was to understand the logic of
FMEA technique and reduce the risk during radiological reporting process and to take safety measures.
Method: FMEA is a systemic approach to determine the dragging or failing parts of a process and the necessary precautions to be
taken to make those processes safer. The aim is to define the possible errors of a process and to redesign the process and take
safety measures to prevent these errors.
Findings and Result: A risk priority number is calculated for each defined error. Pareto analysis is used to find out the severity of
the procedures. The prioritized error types in this study were; Primary physician does not ordered the dietician consultation and
dietician is not being included in the process of treatment. For each defined error a cause and effect diagram was used. An
improvement plan and solutions for the main purposes were developed.
The risk priority number related to each error type is recalculated by using FMEA technique. The total risk priority number has
decreased to 9743 from 17794 and the potential risk has been reduced to 45%. Instructions and revisions have been realized and
all employees of the nutrition assessment process have been trained.
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