Medical Error Prevention: Patient Safety

Continuing Education Credits

• P.A.C.E.® Contact Hours: 2 hour(s)
• Florida Board of Clinical Laboratory Science CE - Medical Errors: 2 hour(s)

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.

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
• Which of the following are included in the National Academy of Medicine (NAM) aims to improve the quality of healthcare in the United States by comple...
• IOM aims within the context of quality clinical laboratory services.
• Clinical Laboratory Services and Safety
• How might patient harm result from each of these problems related to clinical laboratory services? Consider your answer and then click on the defined ...
• 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
• Which of the following best defines "effective clinical laboratory services?"
• Recognizing problems (errors) that could occur in each phase of the total testing process
• Medical Errors
• Factors that Contribute to 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
• Identify the phase of the total testing process in which each of these errors occurs.
• 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
• A patient event occurs that results in a "near miss" (an event that was averted, but may have resulted in death or serious injury). The error was caug...
• Sources of data to identify errors and patient outcomes
• Monitoring Laboratory Processes to Prevent Medical Errors
• Data Sources to Identify Errors
• Which of these sources may be useful for identifying patient safety problems?
• Patient Safety Goals
• The Joint Commission National Patient Safety Goals 2019 for Clinical Laboratories
• National Patient Safety Goal: Identify Patients Correctly
• Which of the following is NOT an acceptable patient identifier to use prior to performing venipuncture procedures?
• National Patient Safety Goal: Improve Staff Communication
• National Patient Safety Goal: Prevent Infection Through Hand Hygiene
• What is generally considered the single most important procedure for preventing the spread of nosocomial (hospital-acquired) infection?
• References
• References

Additional Information