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Quality Improvement Tools to Improve Patient Safety: Root Cause Analysis

From the 2021 Joint Annual Meeting (recorded 6/28/2021)
Presented by Catherine Otto, PhD, MLS(ASCP)CM & Karen Golemboski, Ph.D., MLS(ASCP)CM

Effective healthcare organizations are continuously learning operations, through application of quality improvement tools. When adverse events occur, a systems perspective can provide insights regarding the factor(s) that were ultimately responsible. This session will present an overview of systems thinking and describe procedures for root cause analysis.

LEARNING OBJECTIVES
At the conclusion of this presentation, participants will be able to:

  • Draw a simple systems diagram.
  • Describe the elements of a root cause analysis.
  • Use a systems diagram and root cause analysis to evaluate an error in the laboratory testing process.

CE ACCREDITATION
ASCLS is approved as a provider of continuing education programs in the clinical laboratory sciences by the ASCLS P.A.C.E. ® Program. One (1) P.A.C.E. ® contact hour and one (1) Florida credit hour in the area of Supervision/Administration, Quality Control/Quality Assurance, and Safety will be awarded to participants. ASCLS P.A.C.E.® is accepted by the ASCP/ASCLS/AGT Board of Certification and all states, including Florida and California, as an approved provider of continuing education for recertification and licensure. ASCLS is an approved provider with CE Broker for Florida licensees.

LEVEL OF INSTRUCTION
This Intermediate-level program is appropriate for laboratory professionals working in clinical, public health and academic settings.