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The page below is a sample from the LabCE course Patient Safety: Event Management in the Clinical Laboratory (by ASCLS). Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Example 1 Event Process

1. Document the Event

  • Error reporting form intitiated and the event recorded in the Error Log.
  • Immediate Actions - Contacted physician to inform them of the unacceptable specimen

2. Investigate

  • Classification - Pre-Analytical Error
  • Severity/Probability - Level 1 (Minor/Frequent)

3. Root Cause Analysis - Not Required

4/5. Action Plan - Not applicable

6. Evaluate Effectiveness - Not applicable

Data should be monitored for these error situations and if a large number occur, consideration should be given to perform a root cause analysis for the aggregate information. An Action Plan would be developed based on the assessment of the aggregate data.