Medical Error Prevention: Patient Safety (by LabCE)

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 9/1/2022

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.

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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