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Risk Management in the Clinical Laboratory (Online Course)

(based on 3147 customer ratings)

Author: Garland E. Pendergraph,PhD, JD, SM(ASCP), CLS(NCA)
Reviewer: Edward J. Gruber, MT(ASCP), CLS(NCA)

In 1999 the Institute of Medicine (IOM) published a study entitled "To Err Is Human: Building a Safer Health System." Its estimate of the number of deaths and adverse outcomes caused by medical errors sent shockwaves throughout the healthcare community as well as the general population. Perhaps for the first time members of the healthcare community began to seriously look at the way healthcare is delivered and how the process could be improved to enhance patient safety.

Thus, one of the most beneficial results from the IOM study was that hospital workers and other healthcare providers realized that they urgently needed to fully and more effectively incorporate "risk" as a crucial component of their management.

This course discusses the ways that risk can be detected and managed, both within the healthcare facility and specifically within the laboratory. Several tools are presented for proactively and reactively responding to situations affecting patient safety.

Continuing Education Credits

Objectives

  • Define "risk" and discuss why risk management is important in healthcare.
  • Identify laboratory and hospital accrediting bodies and regulations that impact laboratory risk management.
  • Identify risk management concerns associated with the laboratory's preanalytic, analytic, and postanalytic phases of testing.
  • Describe some of the tools used in risk management processes.

Customer Ratings

(based on 3147 customer ratings)

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Course Outline

Click on a link in the outline to view a sample page from this course.

  • Introduction to risk management
  • Healthcare standards and regulations
  • Phases of testing and risk exposures
      • Introduction to Patient Safety and Risk Exposures
      • Preanalytic Phase
      • Analytic Phase
      • Postanalytic Phase
      • The majority of all laboratory errors occur during which phase of laboratory testing?
  • The risk management process
      • Introduction to the Risk Management Process
    • Identify and analyze loss exposure
      • Identify and Analyze Loss Exposure
      • Model of Accident Causation
      • Root Cause Analysis
      • The Fishbone Diagram
      • Examining Alternative Risk Management Treatments
      • Select the Best Risk Management Treatment(s)
      • Errors Related to Risk Management
      • Which of these methods should be used when an adverse event occurs that results in patient injury (negative patient outcomes) to prevent a recurrence?
    • Monitor and improve risk management treatment(s)
      • Monitor and Improve Risk Management Treatment(s)
      • Failure Mode and Effect Analysis
      • Following a patient injury event, the facility's risk manager is solely responsible for monitoring the implemented risk management treatments and iden...
    • External laboratory assessment as a risk management tool
      • Accrediting Organizations
      • Risk Management Accrediting Organizations: Joint Commission
      • Risk Management Accrediting Organizations: College of American Pathologists
      • Risk Management Accrediting Organizations: Commission on Laboratory Accreditation
  • Risk management and employment practices liability
      • Introduction to Risk Management and Employment Practices Liability
      • Pre-Employment Screening
      • Employee Competence Assessment
  • Legal concerns and risk management
      • Legal Concerns and Risk Management
  • References and Recommended Reading
      • References and Recommended Reading

Additional Information

Level of instruction: Intermediate

Intended audience: Medical laboratory professionals
 
Author information: Garland Pendergraph, PhD, JD, SM(ASCP) is currently Laboratory Director for Doctors Laboratory, Inc, at their Savannah, Brunswick, and Kingsland, GA locations. He has served as Laboratory Director at two hospitals, and as Chairman of the Medical Technology Departments at East Carolina University in Greenville, NC and at the Western Carolina University at Cullowhee NC. He is the author of various books, monographs, and scientific publications. Dr. Pendergraph earned a PhD from the University of North Carolina, with a major in parasitology and minor in mycology and bacteriology. He is a member of numerous professional organizations including the American Association of Bioanalysts, the Americal Society of Microbiologists, and is certified by NCA as a Clinical Laboratory Scientist.
 
Reviewer information: Edward J. Gruber, MT(ASCP), CLS(NCA) held the position of Technical Specialist in the laboratory accreditation program (LAP) of the College of American Pathologists for 13 years before his retirement from that position in 2007. He was the primary technical specialist for handling participant inquiries related to anatomic pathology, cytopathology, and immunohistochemistry. He also worked as a technologist at Lutheran General Hospital prior to and during his time at CAP. Mr Gruber is currently pursuing a Master's degree in training and development from Roosevelt University.
Course description: Risk Management is an important discipline for medical laboratory professionals as it is our responsibility to understand and follow the vast number of rules and regulations governing our profession.





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The “Swiss Cheese” Model of Accident Causation

Source: Reason J, Carthey J, deLeval M. Diagnosing “vulnerable system syndrome”: An essential prerequisite to effective risk management. Qual Health Care, 2001; 10(Suppl. II):ii21–ii25. Reprinted with permission of the BMJ Publishing Group.
(4-1-10)



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