Medical Error Prevention: Patient Safety (by LabCE)

2 P.A.C.E. contact hour(s)

(based on 3,336 customer ratings)

Author: Garland E. Pendergraph, PhD, JD, MLS(ASCP)SM, HCLD/CC(ABB)
Reviewer: Alexandru Casapu, MBA, MLS(ASCP)^CM, PBT^CM

Course provided by LabCE.

Medical Error Prevention is a comprehensive course that includes potential causes of medical errors in the clinical laboratory, important legislation and definitions, and steps laboratorians can take to reduce the impact of medical errors in their workplace. This course is an ideal part of an effective medical error reduction program and is appropriate for both experienced and novice laboratorians.

See more courses in: Florida Requirements; Laboratory Safety

Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 2 hour(s)

Course number 578-053-21, approved through 9/30/2023

Florida Board of Clinical Laboratory Personnel Credit Hours - Medical Errors: 2 hour(s)

Course number 20-883616, approved through 9/30/2023

Objectives

List and describe the six aims of the Institute of Medicine (IOM) to improve health care quality.
Describe the IOM aims within the context of quality clinical laboratory services.
Define "total testing process" and recognize problems (errors) that could occur in each phase of the total testing process.
Identify outcomes of patient safety errors with respect to clinical laboratory services.
Discuss patient safety goals.

Customer Ratings

(based on 3,336 customer ratings)

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Course Outline

Six aims of the Institute of Medicine (IOM) to improve health care quality.

State of Healthcare Quality
Six Domains of Healthcare Quality as Defined by the National Academy of Medicine (NAM)
Improving Effectiveness
Patient-Centered Care and Timeliness
Preventing Medical Errors Through Patient Involvement
Efficiency and Equity

IOM aims within the context of quality clinical laboratory services.

Clinical Laboratory Services and Safety
Clinical Laboratory Services and Effectiveness
Clinical Laboratory Services and Patient-Centered Care
Clinical Laboratory Services and Timeliness
Clinical Laboratory Services and Efficiency
Clinical Laboratory Services and Equity

Recognizing problems (errors) that could occur in each phase of the total testing process

Medical Errors
Total Testing Process
Safe Preanalytic Component of Total Testing Process
Safe Analytic Component of Total Testing Process
Safe Postanalytic Component of Total Testing Process
Patient-Centered Preanalytic Component of Total Testing Process
Patient-Centered Analytic Component of Total Testing Process
Patient-Centered Postanalytic Component of Total Testing Process

Outcomes of patient safety errors with respect to clinical laboratory services.

Outcomes of Laboratory Services
The Laboratory Quality Management System and Non-Conforming Events (NCEs)
Reportable Errors
Reporting of Errors
NCEs of External Origin
NCEs of Internal Origin
Root Cause Analysis (RCA)
Root Cause Analysis (RCA), continued
Management of Non-Conforming Events (NCEs)
RCA Example: Cause-and-Effect Diagram
Failure Mode and Effect Analysis (FMEA)
Five Whys

Sources of data to identify errors and patient outcomes

Monitoring Laboratory Processes to Prevent Medical Errors
Data Sources to Identify Errors

Patient Safety Goals

The Joint Commission National Patient Safety Goals 2019 for Clinical Laboratories
National Patient Safety Goal: Identify Patients Correctly
National Patient Safety Goal: Improve Staff Communication
National Patient Safety Goal: Prevent Infection Through Hand Hygiene

References

References

Additional Information

Level of Instruction: Intermediate

Intended Audience: Medical laboratory professionals

Author Information: Garland E. Pendergraph, PhD, JD, MLS(ASCP)SM, HCLD/CC(ABB) received his MSPH from the University of Kentucky in Lexington, his PhD in medical parasitology/entomology and mycology from the University of North Carolina in Chapel Hill and his law degree with a concentration in health care law from Concord Law School, Purdue University. He also did a Fellowship in Tropical Medicine at Louisiana State University School of Medicine. He is the author of a textbook in phlebotomy, a number of scientific articles, plus internet training programs. He is the director of five laboratories.

Reviewer Information: Alexandru Casapu, MBA, MLS(ASCP)^CM, PBT^CM has over 20 years of experience as a medical laboratory scientist, section supervisor, and laboratory manager. He is the former Director of Clinical Laboratory Technology Program at Georgia Piedmont Technical College. He is currently a Program Director at MediaLab, Inc. Alexandru holds BS degrees in Biology and Medical Technology from Clark Atlanta University and a MBA from the University of Georgia.

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Course provided by LabCE.

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