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The page below is a sample from the LabCE course The Basics of Non-Conforming Event Management for Clinical Laboratory Services. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Sources of NCEs and Prioritizing Based on Risk

How do we know when a problem or non-conformity has occurred? The identification of NCEs may come from several places, both within and outside the laboratory.

High-risk sources of NCEs include adverse events, which are occurrences that may pose a significant risk to patient safety. Adverse events carry a high degree of risk and need to be managed with top priority, requiring immediate investigation and implementation of corrective actions. Of even more serious nature and priority are sentinel events. The Joint Commissions defines a sentinel event as an unexpected occurrence which involves a death, serious physical or psychological injury, or the risk thereof. Of lesser degree of severity, but still of significance, is the near-miss event. These are all obvious and definite times to begin a corrective action process.