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FMEA Presentation

Transcript: FMEA of Patient Health Corymarie Cooper Patient Admittance To Hospital The first step Patient Compliance The more information a patient is willing to give to health care professionals the better they can recieve treatment Allergies This includes; Health Conditions A complete list of medications a Patient is currently taking This helps in the diagnosis process as well as checking for any possible drug interactions for prescribed medications Diagnosis The doctor diagnosis the patient accordingly and then prescribes medications to help treat the symptoms and/or the disease Diagnosis A medication is prescribed to the patient based on their symptoms and in corredenance with the patients information that was given earlier Prescription The pharmacist goes over the prescription, checks the patients profile, and then verifies the prescription Pharmacy Pharmacist Acts as a Safety Check A pharmacist can go over the patients profile to check for any allergies and any other possible drug interactions Possible Drug Interactions As medictions are scanned they get checked by the computer system for any patient allergies and/or interactions Scan Medications Technology Acts as a Safety Check Examples Treatment Administration of Medication Nursing staff scans medication before administering it to the patient If a medication is administered to a patient that they are allergic to then bad adverse interactions can happen of which are bad to the patients health and their treatment. This is Another Safety Step to Check Patient Allergies Patient Relsease Pharmacists weren't aware that there were egg products in TPN's that had the intralipids Safety is a Group Effort Diatricians were aware that there are egg products in the Intralipids and keep that in mind when they construct a TPN for a patient The computer system is made to allert the Prescriber, Pharmacist and Nurse staff of egg products in certain medications. However, a TPN can be entered into the computer system without the system knowing the Intralipids are used.

FMEA

Transcript: BC reporting What does SLA stand for? Why are SLAs that important? What does KPI stand for? Why are KPIs important? What does RM stand for? Why do we report on RMs? Why is it important? What can be the consequences of missed SLAs? Understanding SLA, KPI, RM Agreement between Service Delivery (Accenture) and Service Receiver (Client). This is negotiated and decisions are taken before both sides signs the agreement. It indicates clearly what kind of service is to be delivered and what kind of consequences might the parties face in case the of agreement breach. YOU What is it? What are we tracking and reporting? Why? dissatisfied manager missed objectives lower annual assessment result Results Why is it important? Results What is it? Research SLAs measure how good we are in doing our job; well tracked - helps us keep client satisfied; pushes to improve level of service are an identification of client expectations; SLAs measure how good we are in doing our job; well tracked - helps us keep client satisfied; pushes to improve level of service are an identification of client expectations; Agreement between Service Delivery (Accenture) and Service Receiver (Client). This is negotiated and decisions are taken before both sides signs the agreement. It indicates clearly what kind of service is to be delivered and what kind of consequences might the parties face in case the of agreement breach. SLA = Service Level Agreement YOU SLA Research Service Level Agreement SLA = Service Level Agreement dissatisfied manager missed objectives lower annual assessment result Understanding dissatisfied client fine for the company fall of service level and company reputation on marked dissatisfied client fine for the company fall of service level and company reputation on marked SLA What can be the consequences of missed SLAs? SLA, KPI, RM

FMEA

Transcript: There are only 2 essentially different types of FMEA: both types of FMEA require a similar structure starting from here, we'll now only look at the failures Subelement 1 Acceleration takes too long Tooth material too soft Process-centered FMEA Failure Mode and Effect Analysis This is a car. It has several "Functions" - desired characteristics that we expect of it. 8 10 Basic element failures 1 D Diameter < 59.9 mm 8 Severity 4 Torque < 200 Nm @ 3000 U/min S 2 Product-centered FMEA 3 Red and yellow RPNs demand action in form of Car never reaches 100 km/h FMEA Measures Risk Priority Number [RPN] RPN And (you guessed it) it is also done for each basic element, in this example a gearwheel Each Cause has an 3 Occurrence So, for each root in a failure net we can calculate a Root element failures The same is done for each subelement, in this example a motor No means to fix gearwheel on drive shaft & 3 10 Tooth surfaces are too rough Each Effect has a 2 Subelement failures 6 Or they are detective, i.e. they improve the detectability of a failure There seems to be a causal connection... Root element 2 2 Measures can be preventive, i.e. they reduce the occurrence of a failure S O Basic element 2.1 e.g. known as: Design FMEA Machinery FMEA System FMEA Tool FMEA Failures Tooth surfaces are too rough Diameter > 60.1 mm No means to fix gearwheel on drive shaft Tooth material too soft Diameter < 59.9 mm Acceleration takes too long Steering not possible Passengers get wet Car never reaches 100 km/h Basic element 1.1 Tooth surfaces are too rough Diameter > 60.1 mm No means to fix gearwheel on drive shaft Tooth material too soft Diameter < 59.9 mm Basic element 2.2 That's what we call a Failure Net Tooth surfaces are too rough Diameter > 60.1 mm No means to fix gearwheel on drive shaft Tooth material too soft Diameter < 59.9 mm Process FMEA Assembly FMEA Logistics FMEA e.g. known as: Failures Torque < 200 Nm @ 3000 U/min Motor overheats at < 6000 U/min Max power < 150 kW Torque >> 200 Nm @ 3000 U/min Acceleration takes too long Steering not possible Passengers get wet Car never reaches 100 km/h 96 160 24 32 Each measure needs a person responsible for it Subelement 2 Effects Basic element 1.2 The color of the RPN indicates the overall Risk level Functions And for each Function, there is at least one "Failure", a way in which that Function goes wrong Provide a net torque of 200 Nm @ 3000 U/min Ensure safe function up to 6000 U/min Provide up to 150 kW of power Failures Functions And for each Function, there is at least one "Failure", a way in which that Function goes wrong Each measure needs to be clearly defined (when is it over?) Only the worst-case Effect is used for the RPN calculation 4 2 2 2 1 O Each measure needs a deadline Causes Modes Effects Torque < 200 Nm @ 3000 U/min Max power < 150 kW Motor overheats at < 6000 U/min Torque >> 200 Nm @ 3000 U/min ...and a 3 10 1 2 2 D Detectability Acceleration takes too long Passengers get wet Steering not possible Car never reaches 100 km/h Functions And for each Function, there is at least one "Failure", a way in which that Function goes wrong Provide teeth surfaces that can safely transmit 1000 N/tooth to the transmission Provide a means to be fixed on the drive shaft Diameter of force transmission: 60mm +/- 0.1mm Accelerate to 100 km/h in 14s Protect passengers from weather Enable easy steering Causes

FMEA

Transcript: Bre Lockett Maria Rinaldi Emphasize problem prevention Documents risk and actions taken to reduce risk Provide focus for improved testing and development Minimizes late changes and associated cost Catalyst for teamwork and idea exchange between departments EXAMPLE Focuses on potential failure modes for a process within a system A process is defined as an organized sequence of tasks which create a product or service In automotive manufacturing, a process can involve fabrication, assemble, painting, cleaning, or transportation of a part Goal is to minimize process-based failures and variations around the design parameters Benefits Of An FMEA Improve product/process reliability and quality Increase customer satisfaction Early identification and elimination of potential product/process failure modes Prioritize product/process deficiencies Capture engineering/organization knowledge Detection Scale (From Northrup Grumman) Focuses on failures regarding the functions of a part or component Used to analyze and improve individual components Specific hardware components must be defined in order to perform a DFMEA Should have an extensive progression through all important factors When done correctly can reduce process development time by preventing the need for corrective actions down the line Michael Cooper Alex Kandra ode RPN = Severity x Occurrence x Detection Severity, Occurrence, and Detection are all values determined by a defined scale (usually 0-10) Can be used to compare risks of failure modes associated with the same process/part Can be used to determine risk reduction of a corrective action applied to a specific failure mode SHOULD NOT be used to compare risks of different processes/parts Define, identify, & prioritize known and/or potential failures before they reach the customer Help eliminate faliure modes and/or reduce their risks Invites a well developed dialogue about a part or process Promotes efficiency Failure Mode - A concise description of how a part, system, or manufacturing process may potentially fail to perform its function Failure Mode "Effect" - A description of the consequence of a system or part failure. A typical failure mode may have several "effects" Risk Priority Number (RPN) Process FMEA A normalized process that is used to establish a relative ranking system of hypothesized failure modes Popular in many different fields of manufacturing and design Can be broken down into different specializations Process Design Team of engineers identifies possible failure modes Uses a rating system, RPN, to quantify risk, asses priority, and calculate improvement Corrective actions are implemented as a direct result of the FMEA Must be conducted before a new process is introduced or an existing process is modified Analysis is applied to each individual machine and function within the process Process failures can affect product quality, process reliability, customer satisfaction, and personal safety What Is An FMEA? Process FMEA (cont.) Design FMEA Office of manned space flight: Apollo Program RA-006-013-1A Northrop Grumman Corporation, Integrated Systems Gavin Robbins Consulting Ltd 2013 AIAG The catalyst for Peak Performance Failure Modes and effects analysis by Kenneth Crow http://www.isixsigma.com/tools-templates/fmea/fmea-preventing-failure-any-harm-done/ http://quality-one.com/fmea/design-fmea/ http://www.npd-solutions.com/fmea.html http://www.sixsigmaonline.org/six-sigma-training-certification-information/articles/six-sigma-and-dfmea-%28design-failure-mode-and-effect-analysis%29-work-together.html http://www.qualitytrainingportal.com/resources/fmea/fmea_dfmea_or_pfmea.htm http://www.isixsigma.com/topic/process-fmea-vs-design-fmea/ http://www.differencebetween.net/technology/difference-between-dfmea-and-pfmea/ http://sixsigmatutorial.com/fmea-tutorial/395/ http://www.ihi.org/resources/Pages/Measures/RiskPriorityNumberfromFailureModesandEffectsAnalysis.aspx Importance Of Performing An FMEA Occurrence Scale (From Northrup Grumman) nalysis Why Do An FMEA? Severity Scale (From Northrup Grumman) Important Terminology ailure F M E A Timeline of the FMEA Benefits Of An FMEA (cont.) How Does An FMEA Work? Process/Design ffect Sources

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