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Process/Product Name:_ Responsible: Process Step/Input What is the process step or feature under investigation? Potential Failure Mode In what ways could the step or feature go wrong? Potential Failure Effects What is the impact on the customer if this failure is not prevented or corrected? SEVERITY (1-10) Potential Causes What causes the step or feature to go wrong? (how could it occur?) OCCURRENCE (1-10) Current Controls What controls exist that either prevent or detect the failure? DETECTION (1-10) Prepared By: FMEA Date (Orig.): RPN (Rev.): Action Recommende Resp. What are the recommended actions for reducing the occurrence of the cause or improving detection? Who is responsible for making sure the actions are completed? Actions Taken What actions were completed (and when) with respect to the RPN? SEVERITY (1-10) OCCURRENCE (1-10) DETECTION (1-10) RPN

Process/Product Name:_ Responsible: Process Step/Input What is the process step or feature under investigation? Potential Failure Mode In what ways could the step or feature go wrong? Potential Failure Effects What is the impact on the customer if this failure is not prevented or corrected? SEVERITY (1-10) Potential Causes What causes the step or feature to go wrong? (how could it occur?) OCCURRENCE (1-10) Current Controls What controls exist that either prevent or detect the failure? DETECTION (1-10) Prepared By: FMEA Date (Orig.): RPN (Rev.): Action Recommende Resp. What are the recommended actions for reducing the occurrence of the cause or improving detection? Who is responsible for making sure the actions are completed? Actions Taken What actions were completed (and when) with respect to the RPN? SEVERITY (1-10) OCCURRENCE (1-10) DETECTION (1-10) RPN

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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FMEA Prepared By: FMEA Date (Orig.): Process/Product Name: Responsible: (Rev.): Potential Action Process Potential Potential Current Actions Failure Recommende Resp. Step/Input Failure Mode Causes Controls Taken Effects What are the What is the recommended Who is What actions In what ways could the step or customer if this feature go What is the impact on the What causes the What controls actions for step or feature to go wrong? (how could it occur?) responsible for making sure the actions are were completed (and when) with process step or feature under exist that either reducing the failure is not prevent or detect the failure? occurrence of respect to the RPN? investigation? wrong? prevented or the cause or completed? corrected? improving detection? SEVERITY (1 - 10) OCCURRENCE (1 - 10) DETECTION (1 - 10) SEVERITY (1 - 10) OCCURRENCE (1 - 10) DETECTION (1 - 10) RPN
Transcribed Image Text:FMEA Prepared By: FMEA Date (Orig.): Process/Product Name: Responsible: (Rev.): Potential Action Process Potential Potential Current Actions Failure Recommende Resp. Step/Input Failure Mode Causes Controls Taken Effects What are the What is the recommended Who is What actions In what ways could the step or customer if this feature go What is the impact on the What causes the What controls actions for step or feature to go wrong? (how could it occur?) responsible for making sure the actions are were completed (and when) with process step or feature under exist that either reducing the failure is not prevent or detect the failure? occurrence of respect to the RPN? investigation? wrong? prevented or the cause or completed? corrected? improving detection? SEVERITY (1 - 10) OCCURRENCE (1 - 10) DETECTION (1 - 10) SEVERITY (1 - 10) OCCURRENCE (1 - 10) DETECTION (1 - 10) RPN
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