Process Step/ Requirements Potential Failure Potential Effects Potential Causes Current Process Current Materials needed Responsible

Function Mode of Failure / Mechanisms Controls Process person

of Failure Prevention Detection
1.) Check Doctors MGH 1. MGH order Unsmooth/Delaye 1.Miscommunic Base from PP Clear Physicians Order Charge
Doctors order from was overlooked d discharge ation or failed manual coordination sheet with a clear Nurse
Order Physicians order 2. Wrong used process to carry out and effort MGH order
sheet of approved order due to from
abbreviation work overload involved staff
2.) Inform 1. Doctors MGH 1. Work Unsmooth/Delaye 1.Work Base from PP Clear Company phone Charge nurse
patient/rela order from overload d discharge overload manual coordination Head Nurse
tive about Physicians order 2.Miscommunic process 2. Unable to and effort Bedside
discharge sheet ation or unable understand from nurse
and the 2. Doctor to provide instruction from involved staff AMD/ROD
process flow 3.Bedside nurse detailed nurse in
instruction charge/doctor
about the 3. unable to
discharge flow identify process
process for VIP patient
3. Identification
of patient eg.
VIP
3.) Informing Familiarity about 1. Work Unsmooth and 1.Unable to 1.PP manual Clear Company phone Charge
Servicing the process overload delayed discharge settled charges regarding coordination Credit memo Nurse
Unit 2. Inexperience process on time discharge and effort form Nursing Aide
being a charged 2.Unsmooth from Head Nurse
nurse billing discharge involved staff Billing dept
3. Incorrect process
tagging for VIP 3. unable to
patient identify process
for VIP patient
4.) Patient will Billing Billing Unsmooth and Insufficient 1.PP manual Clear Discharge notice Charge
settle bill on department department delayed discharge funds for regarding coordination form Nurse
the billing acknowledge the failed to call process settlement discgarge and effort Nursing Aide
department discharge of back or inform 2.Billing from Head Nurse
 patient that the patient department involved staff Billing
can now settled policy department
at the billing
department.
5.) Explanation 1.Duly signed 1.Miscommunic Incompliance on 1.Lack of 1.PP manual Clear 1.Discharge Charge nurse
of Home Discharge notice ationfrom billing patient side patients regarding coordination Notice Bedside
Instruction/p from the billing department Unsmooth/Delaye cooperation discharge and effort 2.Discharge nurse
rescription officer 2.No available d discharge from summary ROD
ROD process involved staff 3.Home
instruction
4.Prescription
pad
6.) Bedside 1.Rapport Bedside nurse Unsmooth/Delaye 1.Lack of 1.PP manual Clear List of Home Charge nurse
clarify 2.Good understanding d discharge patient’s regarding coordination instruction Bedside
understandi communication about the process cooperation discharge and effort nurse
ng for technique discharge 2.Work from
discharge summary overload of involved staff
instruction Work overload Bedside nurse
and ask for
the
preferred
time of
discharge
7.) Inform Discharge Notice Unsmooth/Delaye No available 1.PP manual Clear 1.Discharge Charge nurse
porter Porter Trolley d discharge porter regarding coordination Notice Bedside
regarding process discharge and effort Porter
patients from
time of involved staff
discharge
8.) Inform Company Unable to Unsmooth/Delaye Unmatched ID 1.PP manual Clear 1.Discharg Notice Charge
security phone/communi contact security d discharge wristband regarding coordination 2.ID wristband Nurse
about the cation Misplaced process discharge and effort 3.Security log Bedside
patients Discharge from book Porter
discharge Notice involved staff Security
 Unmatched ID
wristband
9.) DAMA Responsibility Incompliance of Unsmooth/Delaye Unable to 1.PP manual Clear 1.DAMA form Charge
patient Waiver/ DAMA Duly signed d discharge inform servicing regarding DAMA coordination 2.Discharge Nurse
form form from process unit regarding patient and effort clearance Bedside
Doctors order patient/guardia DAMA from 3.ID wristband Nurse
n involved staff 4.Secirity log ROD
book Security
10.) Post Preliminary No authorize Unsmooth/Delaye 1.Unable to 1.PP manual 1.Clear 1.Physician Order Charge nurse
Mortem death certificate signatory or d discharge release the regarding coordination Sheet ROD
(Expired immediate process cadaver due to Postmortem care and effort 2.ID Wristband Nsg
patient) relative lack of fun/no patient from 3.Death Supervisor
ROD who signatory/no involved staff Certificate 4 Nursing Aide
pronounce dead funeral service copies Billing
is unavailable available. 2.Well 4.Cadaver release
No NSG 2.Belief and educated form
supervisor practices not staff 5.Discharge
suited to our regarding Notice
policy believe and 6.Cadaver Tag
practices. 7.Post Mortem
Kit.
8.Security log
book