Failure Mode And Effect Analysis: Selecting Immediate Actions

Step 3: Selecting Immediate Actions A memorandum that will provide an option for immediate action must reiterate the standards for oxygen saturation level and corresponding clinical intervention, according the WHO Manual (WHO, 2011). This standard (Table 1) must be established for strict compliance to arrest the errors committed based on the investigation conducted.
Table 1: WHO Standard Oximetry Reading Ranges and Intervention Recommendation
Range Interpretation Recommended Action
95a – 100% Normal Supplemental oxygenation intervention unnecessary
90 – 94% Hypoxia Supplementation oxygenation must be provided
≤ 89% Clinical Emergency Inform the physician while providing oxygen therapy a – Supplemental oxygenation must be provided towards
However, the removal of Static phase (Phase 7), ending in Maintain Change phase (Phase 6) instead, is necessary to reflect the ideal nursing process for perpetual change as an on-going quality objective.
The PIP Failure Mode and Effects Analysis
Establishing the Interdisciplinary Team Membership The interdisciplinary team is essentially variable in its number of members, which may consists of five to seven members, namely, a physician (e.g. pulmonologist), a nurse (e.g. RN or LPN, or both), a non-healthcare specialist (e.g. bioethicist), a clinical quality expert, and an emergency technician. The primary criterion is their close association with the actual patient care situation and the specific incident (Davis, et al., 2008).
Preparing the Analysis The FMEA preparation involves the interdisciplinary team, which is tasked in reviewing the processes associated with the specific patient care (e.g. arterial oxygen saturation monitoring), creating a flow chart to represent each process, and identifying observable weaknesses in these
Each prioritized failure mode must be represented in a follow chart to refine conceptual relationships of the processes selected. Establishing an Action Plan An action plan must be designed so that it can detect the potential occurrence of adverse clinical incidents. It may be a quick cycle plan or a more thorough, long-running plan, which often require collaborative efforts between multidisciplinary healthcare departments. The objectives, however, are root cause intervention and recurrent adverse incident detection.
Testing PIP Interventions Inevitably, PIP interventions hold vast potentials for expanded application; that is, applications outside the nursing department where the adverse incident originated. This phase is normally integrated in the change theory used to govern the PIP implementation, such as the Lippitt’s Maintaining Change phase, which is essentially adaptable for expanded execution.
Leadership Requirements for Quality Care