Using failure mode and effects analysis to decrease risk when developing a home health nurse residency program


Background:New graduate nurses are traditionally not recruited for home health care (HHC).

Local problem:Due to staffing shortages, a HHC agency was interested in hiring graduate nurses, but there was concern about associated risks.

Methods:The purpose of this quality improvement project was to develop a nurse residency program to safely transition graduate nurses to the HHC setting. After initial program design, analysis using a failure mode effects analysis (FMEA) was conducted, and risk mitigation strategies were applied.

Results:The overall risk of onboarding graduate nurses in HHC was reduced by 42% after applying harm reduction tactics identified from the FMEA.

Conclusion:The FMEA was found to be a useful tool to prospectively identify areas of concern and apply harm reduction tactics prior to nurse residency implementation.

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