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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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Team Investigation

At the initial Root Cause Analysis Team meeting a review of the event is conducted, and the team determines what additional information is needed to assess the event. Assignments can be made to the team members for investigative actions, and they can report their findings at the next meeting. Additional investigative actions can include:

  • Review of Patient chart
  • Review of Laboratory records
  • Interview of individuals involved in the event
  • Review of relevant policies, procedures, and protocols
  • Literature search for relevant topics