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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: x SEVERITY :- importance of effect on customer requirements 1 = Not severe, 10 = Very severe OCCURRENCE :- freq. with which given failure cause occures 1 = Not likely, 10 = Very likely DETECTION :- ability to detect failure cause 1 = Easy to detect, 10 = Not easy to Detect Why FMEA ? When new systems, products, and processes are being designed When existing designs or processes are being changed When carry-over designs are used in new applications After system, product, or process functions are defined, but before specific hardware is selected or released to manufacturing Rating Scales List of actions to prevent causes or detect failure modes History of actions taken The FMEA FORM Allows us in identifying areas of our process that impact most of our customers Helps us identify how our process is most likely to fail Points to process failures that are most difficult to detect Application Examples RPN is the product of the severity, occurence, and detection scores Why FMEA ? Learning Objectives Rating Scales Risk Priority Number (RPN) DETECTION What is a Failure Mode ? A Failure Mode is : The way in which the component, subassembly, product,input, or process could fail to perform its intended function. Things that could go wrong A structured approach to: Identifying the ways in which a product or process can fail Estimating risk associated with specific causes Prioritizing the actions that should be taken to reduce risk Evaluating design validation plan (design FMEA) or current control plan (process FMEA) C&E MATRIX PROCESS MAP Process History Procedures Knowledge Experience A team approach is necessary. Team should be led by the process owner who is the responsible engineer or technical person, or other similar individual familiar with FMEA. The following should be considered for team members : --Design Engineers --Operators --Process Engineers --Reliability --Materials Suppliers --Suppliers RPN SEVERITY FAILURE MODE & EFFECT ANALYSIS (FMEA) MANUFACTURING: A manager is responsible for moving a manufacturing operation to a new facility. He/She wants to be sure the move goes as smoothly as possible and that there are no surprises. DESIGN: A design engineer wants to think of all the possible ways a product being designed could fail so that robustness can be built SOFTWARE: A software engineer wants to think of possible problems a software product could fail when sacled up to large databases. FMEA: A Team Tool There are a wide variety of scoring "anchoring", both quantitative or qualitative Two types of scales are 1-5 or 1-10 The 1-5 scale makes it easier for the teams to decide on scores The 1-10 scale may allow for better precision in estimates and a wide variation in scores (most common) FMEA Inputs & Outputs INPUTS Benefits of FMEA An FMEA: Identifies the ways in which a product or process can fail Estimates the risk associated with specific causes Priortizes the action that should be taken to reduce risk FMEA is a Team Tool There are two different types of FMEAs: Design Process Inputs to the FMEA include several other Process tools such as C&E Matrix and Process Map. SUMMARY FMEA When to conduct an FMEA ? To understand use of FMEA To learn the steps to developing FMEAs To summarize the different types of FMEAs To learn how to link the FMEA to other Process tools x OCCURENCE = Types of FMEAs Design Analysis product design before release to production, with a focus on product function. Analysis systems and subsystems in early concept and design stages Process Used to analyse manufacturing and assembly processes after they are implemented OUTPUTS Methodology that facilitates process improvement Identifies & eliminates concerns early in the development of a process or design Improve internal & external customer satisfaction Focuses on prevention FMEA may be a customer requirement (likely contractual) FMEA may be required by an applicable Quality Management System Standard (may be ISO)

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

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