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Failure Modes Effect Analysis (FMEA)
Failure Modes Effect Analysis (FMEA)
(FMEA)
• A Failure Mode is: • A structured approach
– The way in which the to:
component, – Identifying the ways in
subassembly, product, which a product or
input, or process could process can fail
fail to perform its – Estimating risk associated
with specific causes
intended function
– Prioritizing the actions
• Failure modes may be that should be taken to
the result of upstream reduce risk
operations or may cause
– Evaluating design
downstream operations
validation plan (design
to fail
FMEA) or current control
– Things that could go plan (process FMEA)
wrong
Identify failure modes Determine and assess
Identify causes of the Prioritize
and their effects actions
failure modes
and controls
• Severity RATING SCALES
– Importance of the effect on customer • Severity
requirements
– 1 = Not Severe
• Occurrence
– 10 = Very Severe
– Frequency with which a given cause
occurs and creates failure modes • Occurrence
(obtain from past data if possible) – 1 = Not Likely
• Detection – 10 = Very Likely
– The ability of the current control • Detection
scheme to detect (then prevent) a – 1 = Easy to Detect
given cause (may be difficult to
estimate early in process operations). – 10 = Not easy to Detect
* CKD on HD Menjadi salah satu Indikator Mutu Pelayanan Rumah Sakit PELNI
* Sepuluh penyebab kematiaan terbanyak di Rumah Sakit PELNI
* Sepuluh diagnosa penyakit terbanyak di Rumah Sakit PELNI
• Mempunyai jumlah tempat tidur untuk HD sebanyak 100 mesin
• Layanan 24 jam
• Jumlah Pasien HD per bulan 500 pasien.
• Jumlah tidakan HD per bulan 4130 pasien.
• Dokter umum
Dokter ruangan
Umum • Kompetensi dasar
HD
Pengelolaan SDM
• Jumlah perawat.
Perawat • Kompetensi dasar
HD
Penunjang
Jumlah dan
kompetensi
• Dokter spesislis
Dokter Ginjal dan
Dokter Hipertensi
Spesialis dan Perawat spesialis
Umum • Kompetensi
• Jadwal Konsulen
• Dokter umum
Dokter ruangan
Layanan Umum • Kompetensi dasar
lainnya HD
• Jumlah perawat.
Perawat • Kompetensi dasar
HD
Obat dan Ketidak tepatan Target RKAP tidak Unit HD Dan 4 5 4 80 2 1. Memastikan
Alat Habis perencanaan tercapai Farmasi program SIRS
Pakai lancar
2. Mempersingkat
jalur birokrasi.
Ketidaktepatan Terganggunya Unit Pengadaan 4 4 4 64 3. Ketepatan
pengorderan pelayanan HD perencanaan obat
dan Alkes
4. Redesign
CAUSE Recom mendat Action(s) to Im plementatio Im plementatio Im plementatio Resource Resource Evidence of Monitoring & Sign-off by Sign-off Date
ion(s) achieve n by Whom n by w hen n of the place required required com pletion evaluation
recommendati (Where) (Tim e) (Money) arrangements
ons (How )
01 Sep 2019
Ketidak Memastikan Evaluasi
27-30 Agust Brefing/compr
tepatan program struktur IT Rg IT 1 minggu Rp. 500.000
2019 en
perencanaan SIRS lancar bangun IT