CLSI GP32 P : 1ED 2007
Superseded
A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.
View Superseded by
MANAGEMENT OF NONCONFORMING LABORATORY EVENTS
21-11-2007
12-01-2013
Abstract
Committee Membership
Foreword
1 Scope
2 Definitions
3 Overview of a Nonconforming Event Management Program
4 Human Error
5 Creating a Culture to Discover and Report Nonconforming
Events
5.1 A Just Culture
5.2 Nonconforming Event Management Program Support
5.3 Detecting or Discovering Nonconforming Events
6 Initiating a Nonconforming Event Report
7 Remedial Action
7.1 Distinction Between Remedial and Corrective Action
7.2 Remedial Action as Corrective Action
8 Investigation
8.1 Path of Workflow
8.2 Investigating the Nonconformance
8.3 Documentation of Investigation
9 Short-term Corrective Action
10 Classification
10.1 The National Center for Patient Safety (NCPS) - Safety
Assessment Code (SAC)
10.2 Laboratory Event Classification
11 Analysis of Event Information and Data Presentation
11.1 Reporting Data
11.2 A Medical Laboratory Example
12 Management Review and Referral to Process Improvement
for Long-term Corrective Action
12.1 Management Review
12.2 Root Cause Analysis
12.3 When to Perform RCA
12.4 Conducting an RCA
12.5 Commonly Identified Root Causes
12.6 Process Improvement
13 Application of Nonconforming Event Management to a
Laboratory Example
13.1 Initiating the Nonconforming Event Report
13.2 Remedial Action
13.3 Investigation - How It Happened
13.4 Investigation - Who and What
13.5 Investigation - Why It Happened
13.6 Documentation of Investigation
13.7 Short-term Corrective Action
13.8 Classification
13.9 Review and Referral
13.10 Root Cause Analysis
13.11 Process Improvement
14 Last Words of Advice
References
Additional Resources
Appendix A1. Sample of a Simple Generic Nonconforming
Event Report
Appendix A2. Sample Laboratory Nonconforming Event Report
Appendix A3. Second Example of a Laboratory Nonconforming
Event Report Form
Appendix A4. Example of Another Laboratory Event Management
Form
Appendix B. The Safety Assessment Code (SAC) Matrix
Appendix C. Data Collection Tools
Appendix D. Investigation and Data Reporting Tools
Appendix E. A Formal Process for Using Root Cause Analysis
(RCA) Tools
The Quality Management System Approach
Related CLSI/NCCLS Publications
Provides an outline and the content for developing a program to manage a healthcare service's nonconforming events that is based on the principles of quality management and patient safety.
DocumentType |
Proposed Guideline
|
PublisherName |
Clinical Laboratory Standards Institute
|
Status |
Superseded
|
SupersededBy |
BIS IS/ISO 15189 : 2012 | MEDICAL LABORATORIES - REQUIREMENTS FOR QUALITY AND COMPETENCE |
CLSI EP18 P2 : 2ED 2007 | RISK MANAGEMENT TECHNIQUES TO IDENTIFY AND CONTROL LABORATORY ERROR SOURCES |
CLSI GP21 A2 : 2ED 2004 | TRAINING AND COMPETENCE ASSESSMENT |
CLSI HS1 A2 : 2ED 2004 | A QUALITY MANAGEMENT SYSTEM MODEL FOR HEALTH CARE |
CLSI GP26 A3 : 3ED 2004 | APPLICATION OF A QUALITY MANAGEMENT SYSTEM MODEL FOR LABORATORY SERVICES |
CLSI GP22 A2 : 2ED 2004 | CONTINUOUS QUALITY IMPROVEMENT: INTEGRATING FIVE KEY QUALITY SYSTEM COMPONENTS |
CLSI GP2 A5 : 5ED 2006 | LABORATORY DOCUMENTS - DEVELOPMENT AND CONTROL |
Access your standards online with a subscription
Features
-
Simple online access to standards, technical information and regulations.
-
Critical updates of standards and customisable alerts and notifications.
-
Multi-user online standards collection: secure, flexible and cost effective.