Medical Error Prevention: Patient Safety

Continuing Education Credits

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

Objectives

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

Course Outline

• Six Aims of the National Academy of Medicine to Improve the Quality of Health Care
• State of Quality in Health Care
• Six Domains of Quality in Healthcare as Defined by the National Academy of Medicine
• Improving Effectiveness
• Patient-centered Care and Timeliness
• Preventing Medical Errors Through Patient Involvement
• Efficiency and Equity
• According to the National Academy of Medicine, quality health care systems in the United States should be:
• One way patients and their families can become active participants in their health care is by:
• The National Academy of Medicine Aims Within the Context of Quality Clinical Laboratory Services
• Clinical Laboratory Services and Safety
• Which of the following options related to clinical laboratory services is unlikely to cause patient harm?
• 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?
• How might a laboratory ensure equity in laboratory testing services?
• Recognizing Errors that Could Occur in Each Phase of the Total Testing Process
• Medical Errors
• Which of the following options is an error of omission?
• Total Testing Process
• Safe Pre-Examination Component of Total Testing Process
• Safe Examination Component of Total Testing Process
• Safe Post-Examination Component of Total Testing Process
• Patient-Centered Pre-Examination Component of Total Testing Process
• Patient-Centered Examination Component of Total Testing Process
• Patient-Centered Post-Examination Component of Total Testing Process
• Identify the phase of the total testing process in which each error occurs.
• Misinterpretation of an alphabetic flag in the result field, such as using a lowercase letter L (l) to indicate a low result, where the result could b...
• Outcomes of Patient Safety Errors with Respect to Clinical Laboratory Services
• Outcomes of Laboratory Services
• The Laboratory Quality Management System and Non-Conforming Events
• Reportable Errors
• Reporting of Errors
• NCEs of External Origin
• NCEs of Internal Origin
• Root Cause Analysis
• Root Cause Analysis, continued
• Management of Non-Conforming Events
• RCA Example: Cause-and-Effect Diagram
• Failure Mode and Effect Analysis
• Five Whys
• A patient event occurs that results in a near miss. Which of the following is an appropriate response to improve the process involved and patient safe...
• NCEs may be of external or internal origin. From the answer choices, choose the NCE of internal origin.
• Sources of Data to Identify Errors and Patient Outcomes
• Monitoring Laboratory Processes to Prevent Medical Errors
• Data Sources to Identify Errors
• All of the following sources may be useful for identifying patient safety problems except:
• Patient Safety Goals
• The Joint Commission 2025 National Patient Safety Goals 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 healthcare-associated infection?
• References
• References

Additional Information