Table 2:

Failure modes with the highest RPN

No.	Process or Activity	Failure mode	RPN
1	-	High infection rate inwards for medical and nursing operations	1000
2	-	High infection rate inwards for medical devices’ operations	1000
3	-	Early discharge	1000
	Prevention of venous thromboembolism in critically ill patients	Failure to maintain the performed evaluations and to detect complications	810
5	Prevention of venous thromboembolism in critically ill patients	Lack of a protocol for the maintenance of measurements and evaluations and the detection of complications	810
6	-	Endotracheal tube obstruction	800
7	Process of prescribing and taking medication in burn intensive care unit	Likelihood of Failures when being checked for dangerous medication by second nurse or in the case of incorrect confirmation of medication (from prescription category)	800
8	Prevention of venous thromboembolism in critically ill patients	No prescription for evaluations and measures	729
9	General process: Endotracheal tube (ETT) suction	Inaccurate evaluation regarding the necessity of suctioning	648
10	Process of prescribing and taking medication in burn intensive care unit	Not checking the route of administration, drug name, drug dosage, route of injection to patients (from medication use category)	640
11	-	Medication Failures caused by the physician’s inattention in managing patient treatment and providing oral instructions	640
12	Kidney transplant treatment	early circuit clotting	640
13		Failure to respond to alarms from patient-connected medical devices because of ignorance	630
14	-	Failure to respond to alarms from patient-connected medical devices because of not hearing the alarm (when the personnel are out of the ward)	630
15	-	Failure to respond to alarms from patient-connected medical devices because of not hearing the alarm (when the patient is far away or when the isolation room is closed)	630
16	-	Failure to respond to alarms from patient-connected medical devices because of high work load and delay in response	630
17	General process: Endotracheal tube (ETT) suction	Aseptic technique with sterilized gloves (improper technique)	576
18	Kidney transplant treatment	Real dosage lower than the prescribed one	576
19	-	Mistakes in prescribing kind and dosage of medication, caused by physician’s illegible handwriting	560
20	-	Medication Failures caused by nurses’ negligence	560