Table 1.
Different Ways to Sort Failure Modes According to the Score To Be Considered*
| Likelihood × Impact on patient × Impact on nurse |
Likelihood × Impact on patient |
Likelihood × Impact on nurse |
Likelihood | Impact on patient |
Impact on nurse |
||
|---|---|---|---|---|---|---|---|
| C9 | IV pump malfunctioning | 1 | 1 | 1 | 4 | 1 | 1 |
| C17 | No line available to administer IV med | 2 | 2 | 1 | 4 | 2 | 1 |
| C15 | Patient status contra-indicates med | 3 | 3 | 4 | 5 | 2 | - |
| A3 | Critical equipment not working | 4 | 7 | 8 | - | 1 | 1 |
| C10 | RN lacks knowledge on med | 5 | 6 | 7 | - | 2 | - |
| C5 | MAR is inaccurate: discontinued med still appears on MAR | 6 | 4 | 2 | 2 | - | - |
| G2 | Receiving incomplete information: recognize later in the shift | 7 | 4 | 2 | 2 | - | - |
| D2 | Inadequate monitoring/reevaluating | 8 | 5 | 6 | - | - | - |
| A11 | RN does not perform patient assessment updates | 9 | - | 5 | - | - | 1 |
| C14 | Patient allergic to med | 10 | - | - | - | 1 | 1 |
*
The failure modes are sorted in decreasing criticality score and ranked from 1 to 10. The ranks are produced by multiplying two scores and by individual scores. Identical rankings (identical numbers in the same column) correspond to equal scores for different failure modes. IV, intravenous; med, medication; RN, registered nurse; MAR, medication administration record.