Medical Error Prevention: Patient Safety (Online Course)

(based on 4321 customer ratings)

Authors: Catherine Otto, PhD, MBA, MLS(ASCP)^CM; Garland E. Pendergraph, PhD, JD, MLS(ASCP)SM, HCLD/CC(ABB)
Reviewer: Barbara Cebulski, MS, MLS(ASCP)

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.

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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.

Customer Ratings

(based on 4321 customer ratings)

Course Outline

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

State of Health Care Quality
Six Domains of Health Care Quality as Defined by the Institute of Medicine (IOM)
Improving Effectiveness
Patient-Centered Care and Timeliness
Preventing Medical Errors Through Patient Involvement
Efficiency and Equity
Which of the following are included in the Institute of Medicine (IOM) aims to improve the quality of health care in the United States?Health care sys...

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
Reporting of Errors
Root Cause Analysis (RCA)
Root Cause Analysis (RCA), continued
RCA Example
Failure Mode and Effect Analysis
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 2017 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

References

References

Additional Information

Level of instruction: Intermediate

Intended audience: Medical laboratory professionals

Author information:

Catherine Otto, PhD, MBA, MLS(ASCP)^CMis Dean of Health Occupations, Physical Education and Business at Shoreline Community College in Washington. She previously taught hematology, immunology, management and patient outcomes courses in the Clinical Laboratory Science programs at Oregon Health and Science University-Oregon Institute of Technology in Portland, Oregon and University of North Carolina at Chapel Hill. Her research interests include: patient safety, evaluation of laboratory quality and test utilization. Dr. Otto earned her doctorate in Law, Policy and Society, with a concentration in Health Policy at Northeastern University.

Garland E. Pendergraph, PhD, JD, MLS(ASCP)SM, HCLD/CC(ABB) is Laboratory Director & Director of Laboratory Operations, Quest Diagnostics-Valdosta RRL. Dr. Pendergraph is the laboratory director for Quest Diagnostics in Valdosta, GA and Miller County Hospital in Colquitt, GA. Dr. Pendergraph received his MSPH from the University of Kentucky in Lexington, his PhD in medical parasitology 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, Kaplan 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. Dr. Pendergraph serves on the advisory committee for medical technology program at Thomas University. He is licensed as a laboratory director in the States of Georgia and Florida.

Reviewer Information: Barbara Cebulski, MS, MLS(ASCP) has over 40 years of experience in the medical laboratory profession as a technologist, section supervisor, and laboratory manager. She was an Inspection and Technical Specialist for nine years with the College of American Pathologists in the Laboratory Accreditation Program and, until her retirement in 2015, was Program Director for MediaLab, Inc. Barbara holds a Masters in Instructional Technology from Georgia State University.

Medical Error Prevention: Patient Safety Keywords

These are the most common topics and keywords covered in Medical Error Prevention: Patient Safety:

safety turnaround medical laboratory repetitive inefficiency clinical laboratory identifier safeguards hygiene identifiers decades medication laboratory equitable procedures standards_information analytic false-negative environment risk-reduction clinical specimens disease conditions identifying health tracking crossing competencies venipuncture infections nosocomial care-associated equity numbers improvements management rework patient-centered century laboratorians encompasses socioeconomic diagnostic abnormal aspx false-positive treatment punished clinicians calibration delays clinician waits blood hemolysis professionals breakdowns diagnosis medicine samples errors handhygiene guidelines infection identification diagnose npsgs chasm proactive respectful managerial cleansing nerve postanalytic methods aims culture outliers non-punitively reference labeled adverse hospital preanalytic

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