FMEA Table for Your Improvement Plan

List 4 steps in your Improvement Plan Process * List 1 Failure Mode per step Likelihood of Occurrence
(1–10)
Likelihood of Detection
(1–10)
Severity

(1–10)

Risk Priority Number

(RPN)

Example:  On-call staff must clock in within 30 minutes of being notified. On-call staff forget to clock in when arriving to the unit. 4 5 2 40
1.

 

 

 

         
2.

 

 

 

         
3.

 

 

 

         
4.          
          Total RPN (sum of all RPN’s):

FMEA Table for Your Improvement Plan*

* Refer back to your Improvement Plan response in prompt B.