Preventing Medical Errors: Lab Personnel

Intro

Understanding the Critical Role of Clinical Labs

Understanding Your Critical Role in Patient Care

Role of the Institute of Medicine (IOM)

• A. IOM’s Role in Medicine

• B. IOM’s Role Regarding Clinical Labs

• C. Current Objectives of the IOM

  • 1. quality

  • 2. Effectiveness

  • 3. Preventing Medical Errors

  • 4. Patient Interaction

  • 5. Patient Care

  • 6. Efficiency

  • 7. Safety for Lab Personnel

  • 8. Patient Safety

  • 9. Timeliness

lUnderstanding the Concept: Total Testing Process

• A. Medical Errors

• B. Components of Medical Errors

Patient Safety Errors

• A. Patient Safety as It Pertains to Lab Services

• B. Patient Safety as It Pertains to Lab Personnel

• C. Procedures for Reporting Errors

• D. Failure Mode and Effect Analysis

• E. “Near Miss” Events

Data Sources

• A. Preventing Errors Through Monitoring Laboratory Processes

• B. Sources for Identifying Patient Safety Problems

Patient Safety Goals

• A. Correctly Identifying Patients

• B. Staff Communication

• C. Hand Hygiene

Frequency of Medical Errors

• Defining Medical Errors

• What Is A Medical Error?

• An Error of Execution

• An Error of Planning

• Adverse Events

• Near Misses

What Should Be Reported

• Sentinel Events

Common Types of Medical Errors

• Errors of Outcome

  • Operative

  • Nonoperative

• Errors of Process

  • Performance

  • Prevention

  • Diagnostic

  • Drug Treatment

  • System

Analyzing and Preventing Medical Errors

• Root Cause Analysis

• The 5 Whys

VA Recommendations For Performing RCAs

Conclusion

References