CAP Pro Course - Laboratory Management - Investigating Occurrences

Continuing Education Credits

• P.A.C.E.® Contact Hours: 1 hour(s)
• Florida Board of Clinical Laboratory Science CE Credit Hours -
  Supervision/Administration, Quality Control/Quality Assurance, and Safety: 1 hour(s)

Objectives

• Define "occurrence" and identify the role of occurrence investigation in the Quality Management System (QMS).
• Explain how to build an occurrence investigation process that encourages a culture of employee engagement.
• Identify the primary elements needed for investigating occurrences and discuss their functions.

Course Outline

• Define "occurrence" and identify the role of occurrence investigation in the quality management system (QMS).
• Overview of Occurrence Investigation
• The Role of Occurrence Investigation in the Quality Management System (QMS)
• Quality Improvement Philosophies and Tools
• Which of the following would not require follow-up in a quality management system (QMS)?
• A new supervisor takes over in the chemistry laboratory. In her previous laboratory, staff members were required to change gloves every 30 minutes reg...
• Mary is a certified nursing assistant (CNA) on the pediatric floor of her local hospital. She witnesses a parent complaining about the way a nurse gav...
• Which of the following steps is included in an occurrence investigation?
• A nurse in the Intensive Care Unit has discovered that a phlebotomist left the guard rail down on a patient's bed after she finished drawing morning s...
• Explain how to build an occurrence investigation process that encourages a culture of employee engagement.
• "Just Culture"
• Algorithmic Approach to Determining Cause of Occurrence, Response, and Appropriate Intervention
• Breaking Down Silos: Perspectives and Collaboration
• John is a specimen processing technician at a local hospital. He has been an employee for 26 years and has been an employee of the month several times...
• A medical laboratory scientist (MLS) is summoned to the ICU to collect a stat blood gas sample on a patient. The MLS checks the patient's armband and ...
• A medical laboratory scientist (MLS) is summoned to the ICU to collect a stat blood gas sample on a patient. The MLS checks the patient's armband and ...
• A medical laboratory scientist (MLS) is summoned to the ICU to collect a STAT blood gas sample on a patient. The MLS checks the patient's armband and ...
• Identify the primary elements needed for investigating occurrences and discuss their functions.
• Primary Elements in Occurrence Investigation Process
• Element #1: Detection and Reporting
• Element #1: Detection and Reporting, continued
• Element #2: Immediate Error Response and Investigation
• Element #3: Data Review and Analysis (Tracking and Trending)
• Pareto Chart
• Root Cause Analysis (RCA)
• Root Cause Analysis: "5 Whys" Technique
• Root Cause Analysis: Cause-and-Effect (Fishbone) Diagram
• Root Cause Analysis: Flowchart of Work Process
• Element #4: Process Improvement and Recurrence Prevention
• Interventions for Reducing Errors
• Carol is the chemistry supervisor in a large urban hospital. She noticed repeated quality control (QC) failures recorded on one of the main chemistry ...
• A 10-year-old girl is brought into the ER complaining of a sore throat, malaise, fever, and a general lack of appetite. The ER physician orders a comp...
• Imagine that you've just stepped into a new role as head of the phlebotomy department. You've inherited a number of problems that need your attention....
• A 10-year-old girl is brought into the ER complaining of a sore throat, malaise, fever, and a general lack of appetite. The ER physician orders a comp...
• A visiting nurse association has several point-of-care glucose meters. Some of the nurses that have been with the association for a period of time hav...
• An MLS in the microbiology department stuck herself with a needle used to transfer blood from a blood culture bottle to an agar plate. The incident ha...
• What is the purpose of a fishbone diagram?
• It has come to the attention of the senior laboratory management that samples that are ordered stat from the ER are taking longer to process than stat...
• A patient has had a severe transfusion reaction that resulted in death. According to The Joint Commission (TJC), this is what type of event and what t...
• References
• References

Additional Information