Abstract
In the organization, there are various incidents and accidents induced by human errors. The specific human errors belonging to the organization are those to be produced in due to defects of communication. By the communication between persons, the individual human errors will be amplified and spread widely, and in some cases rescued and recovered to the normal state. In this paper, we focused to the medical accidents in the hospital caused by the communication errors between personnel. The three elements FMEA considering a person, another person and their environment to work was used for the analysis. Prior to produce the FMEA, we introduced the SCM (service category map) followed by the action map to cover all the necessary activities. Furthermore, we introduced the communication flow chart to analysis the actions sequentially. As the results, this paper proposes the necessity of additional mental counseling work during the operation process in the hospital.
