Patient Safety: Event Management in the Clinical Laboratory (by ASCLS) (Online Course)

Chloe Scott and Susan Morris

Course provided in partnership with the American Society for Clinical Laboratory Science (ASCLS).

When an event – defined as a deviation from an approved policy, process or procedure, a complaint, or a transfusion reaction – occurs in the laboratory it needs to be documented by the person who observes it. Identifying and tracking errors is a critical component to continuously ensure compliance, patient safety and to improve policies, procedures and processes.

The course provides an overview of the regulatory requirements for event management. In addition, it helps you - laboratory leadership - learn how to get the most information possible from events that have occurred, allowing you to adjust laboratory processes to create a culture of safety, and a safer environment for patients in the future. Learn to analyze reported events, implement preventative actions, and provide necessary education to prevent recurrence.

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Continuing Education Credits


  • Identify types of events that may occur in the clinical laboratory environment.
  • Define regulatory and standards agencies requirements for event management.
  • Identify the steps of the basic Event Management Process.
  • Apply the Event Management Process to various types of events.
  • Identify tools that can be used in the Event Management Process.
  • Utilize root cause analysis to determine the root cause of an event.
  • Identify the principles of a 'Just Culture'.

Course Outline

  • Event Management and Patient Safety
      • The link between Event Management and Patient Safety
  • Event Definition
      • Event Definition
  • Event Management Requirements
      • Event Management Requirements
      • CLIA (Clinical Laboratory Improvement Amendments) Requirements
      • FDA Requirements
      • CAP Requirements
      • TJC Laboratory Accreditation Requirements
      • COLA
      • CLSI
      • AABB Standards (formerly known as the American Association of Blood Banks)
      • CAP Laboratory Accreditation Program Requirements
      • International Standards Organization (ISO)
  • Just Culture Philosophy
      • Just Culture Philosophy
      • To Err is Human
      • Key to Patient Safety
      • Error Follow-up in a Just Culture
      • Accountability in a Just Culture
      • Levels of Excellence in a Just Culture
  • Event Management Process
      • Basic Event Management Process
    • Step 1 Document the Event
      • Step 1 Document the Event
    • Step 2 Investigate
      • Step 2 Investigate
      • Event Classification
      • Severity Assessment
      • Probability Assessment
      • Prioritization
      • Safety Assessment Code
    • Step 3 Root Cause Analysis
      • Root Cause Analysis
      • When should the Root Cause Analysis be performed?
      • Root Cause Analysis Team
      • Team Investigation
      • Root Cause/Contributing Factor
      • Root Cause Characteristics
      • Root Cause Analysis Tools
      • Sample Root Cause Analysis Process
    • Step 4 Develop Action Plan
      • Action Plan Development
      • Corrective Action vs Preventative Action
      • Action Effectiveness
      • Causal Statements
      • Action Plan
    • Step 5 Implement Action Plan
      • Implement Action Plan
    • Step 6 Evaluate Effectiveness of Actions
      • Evaluate Effectiveness
  • Situational Examples
      • Situational Example 1
      • Example 1 Event Process
      • Situational Example 2
      • Situational Example 3
      • Situational Example 4
      • Example 2 Event Process
      • Example 3 Event Process
      • Example 4 Event Process
  • References:
      • References

Additional Information

The partner course is provided by the American Society for Clinical Laboratory Science (ASCLS).

Just one user? Visit for individual subscriptions.
Diverse group of lab techs (male/female, white/African-American, older/younger)