Essays on FMEA

Root Cause Analysis of what led to the Demise of Mr. B. (Causative factors, errors, and hazards) Hazard 1: the dog lying in Mr. B’s path so that Mr. B could not see it, leading to Mr. B’s fall

Hazard 2: Mr. B’s use of oxycodone could not permit his sedation with regular dosage of diazepam or hydromorphone

Hazard 3: Mr. B was also overweight, and this had a deleterious effect on the ability to sedate him using the regular dosages of IVP diazepam or hydromorphone. The chief causes and errors leading to Mr. B’s death seem to have been the fact that there were two large doses of two different sedatives used on him, ...

Root cause analysis

The healthcare system recognizes its first priority as the safety of the patient and the ability to afford the patient groups quality care. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has an obligation to ensure that healthcare facilities live to this expectation and one of the methods that have been employed over time to oversee the sustenance of quality and safe care is the requirement that all healthcare facilities regularly conduct root cause analysis of their facility (Chen, Schein & Miller, 2015). The RCA process is based on the need to determine any existing misses and errors that ...

AT & T

Product and Services Offering AT&T is a telecommunication company that provides high grade products and services to its clientele. Services and products include wireless communication, internet services, telecom equipment, and local services in exchanges (AT&T Annual Report, 2014). The business has been an industry leader for some time having the ability to control a sizeable market share that assists the organization in accomplishing effectiveness within the market along with higher bargaining power. The company’s mission is to allow people to have the ability to connect with others using the most up to date specialized and high tech inventions ...

Analysis of Error in Risk Management at the Work Setting

Analysis of Error in Risk Management at the Work Setting

Introduction

I visited a local health facility in Orlando, California where I attended a committee meeting of the board of management. The agenda for the meeting included the topic of risk management changes, which needs to be implemented in order to avoid more financial expenditure. The members present deliberated upon the various cause of the risks, evaluation of the possible failures and their impact in the management system in addition to the various serious safety events in the hospital. This paper seeks to discuss the information received from the meeting ...

WGU

A. Table of Contents Professional Resume – presents my clinical knowledge, skills, experience, and philosophy to potential employers Executive Summary – provides an overview of the contents of the portfolio Professional Reference Questionnaire – presents the objective and subjective evaluation of my key behaviors and clinical performance by one of my professional references Importance of the Institute for Healthcare Improvement (IHI) – discusses the need to develop knowledge and skills in quality leadership in order to improve the quality and safety of patient care and promote holistic, patient-centered care

Copy of IHI certificate of completion – serves to validate my completion of the IHI Organizational Systems and Quality Leadership course

Evidence-based Practice – summarizes an evidence-based research project on hand hygiene Applied Leadership – summarizes my ...

Risk management in nursing is an important aspect of healthcare provision. Risk management in the profession identifies ways in which a patient or caretaker can be harmed by risks associated with being in a health facility. Risks in these establishments are influenced both internally and externally. Anything in such a facility has the means to causes risks to both patients and nurses and also, other healthcare providers. The most risks that result in accidents in hospitals include manual lifting, carrying or pulling of items, Intravenous Needles and lines, the spread of pathogens among others. The changing model of healthcare ...

The main objective of this study is to understand, evaluate and analyze the fateful sentinel event, which struck Mr. B, who was sixty- seven years old and was taken to the Emergency Department (ED) of a sixty bed rural hospital. Mr. B complained to Nurse J of rigorous pain in his hip and left leg after he lost his balance and fell after tripping over his dog. The ED physician and nurse after thorough medical check up treated Mr. B. However, within thirteen minutes of the treatment procedure, Mr. B's health started deteriorating. He was kept on ventilator and was ...

FMEA.

Failure mode effects analysis forms part of the activity of product and process design. The analytical methodology ensures that all upcoming problems are considered and solved all through the product, service or process development cycle. The nine steps in the failure mode effects analyses are as follows. The first step is assembling a team of experts with detailed knowledge on the process, product as well as the requirements of the customer. The second step is identifying the scope of the analysis. The third step involves the filling in of the identifying information that shows the format of the study. The ...

Introduction:

This paper describes some of the areas of potential advancement towards quality improvement at Phoenix Children’s Hospitals and among its Medicine Centers. One significant improvement strategy is measurement. As Dickson and Tholl (2014) espouses, the attribute involves collection of clinical data to advance patient care and outcomes. By using measurement as a tool, clinical leaders can understand the direction and status of the services delivered as well as define the quality levels within the organization.

Areas of potential improvement:

The core areas of consideration are pediatric research and trauma diagnostics. Both of these aspects have a significant impact on the organization’s mission statement ...

SIX SIGMA

- Introduction: Different scholars have presented several definitions of Six Sigma, so much discussion some time make the concept blur. Is the Six Sigma is utilized as a quality goal the in true mathematical terms the meaning of Six Sigma is to take the product close to the zero error, defect or mistake. Zero does not mean exact zero, but it represent 0.002 mistakes per million defects. This process is highly disciplined, which encourages and helps corporations to give their focus on manufacturing near-perfect services and products. Six Sigma is a statistical term through which organizations measure that how far ...

Executive Summary

The oil industry is one of the most dynamic and robust sectors that contribute to the economic growth of a country. Due to the lucrative nature of the oil industries’ production performance, oil producing organizations have continued to attract a wide array of personnel. Employers have the obligation to provide remunerations that are commensurate with the demands of the job. Since oil industries have been identified to be one of the most hazardous, risks have to be assessed, managed, and appropriately controlled. One of the largest and most productive oil organizations in the world is Saudi Arabian Oil Company (ARAMCO). ...

Background Information

Saudi Arabian Oil Company (ARAMCO) is a state-owned oil organization of the Kingdom of Saudi Arabia (Figure 1) . Saudi Aramco was founded in the early 1930s with headquarters at Dhahran, Saudi Arabia. The President and Chief Operating Officer is Khalid A. Al-Falih since 2009. A total of 3.4 billion barrels of oil were produced in 2013 or 9.4 million barrels per day (bpd) . Forbes ranked Saudi Aramco as number one in the list of the world’s biggest oil companies .

Aramco Operations

There are different stages in oil operations. The current section expounds on oil exploration, production, refining and marketing, and finally, ...

- Introduction The CPU is an important component of a computer. Much of the data that is fed on a given computer is stored in the Central Processing Unit. Considering the importance of the CPU, the production of this computer component should be well throughout in terms of how it meets consumer demand, and its long-term effects to the environment. Computers like other types of machinery pollute the environment through the emission of ionized radiations that have been believed to cause cancer. In addition, computers contain substances such as mercury which makes it difficult to effectively dispose old computers due ...

- DEFINITION FOR RISK MANAGEMENT

The term risk management refers to the process designed for identifying, assessing and prioritizing risks of different kinds. It is prudent to note that once the risk has been identified. The managing director of the project will have to create a plan in order to reduce or completely do away with the negative impacts which may be associated with the risk.

- OBJECTIVES OF RISK MANAGEMENT

The fundamental objective of the risk management is to protect the project from being exposed. It is designed to help keep the project viable and to reduce financial risks. It is also designed to protect the employees, customers and ...