4. A hospital is setting its quality improvement agenda for the upcoming year and will perform an...

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4. A hospital is setting its quality improvement agenda for the upcoming year and will perform an FMEA in one area. The hospital has rated sentinel events for severity, probability, and detectability on the following scale: very high, high, moderate, low, very low. Calculate the risk priority number for each type of event. Which sentinel event should be the focus of the hospital ’s FMEA eff ort?

Event Severity Probability Detectability Hospital-acquired Infection High Moderate High Medication Error Moderate High Moderate Patient Fall Low High Very high Pressure Ulcer Low High Very high Treatment Delay Low High High

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