References:

Clarke, Concept 4: The Process, Side 18, Bullet 7

This reference could be a potential quality issue in this scenario.

 Technology Office Staff Patient

Fail to mention phys out of town at discharge Patient misheard info at discharge
Computer never saved phys vacation to online calendar
Fail to enter phys time off into calendar Patient never schedules lab appt

Fail to ensure patient heard info at discharge

Computer never processed request for lab orders
Patient shows up at wrong time for lab
Fail to verify phys schedule

Computer is slow and lab order doesn’t show up until later

Poor
communication of
discharge
Fail to communicate with office staff about time off
instructions
Staff cannot find orders on computer Family brings patient to lab too early conveyed to the
Variability among physicians with sending in lab orders (Concept
patient
4, Slide 18, Bullet 7). Staff misreads orders on computer Family misheard info and misleads patient

Neglect to send an order to the lab

Neglect to communicate to patient about next

appointment

Physician Lab Staff Family of

Patient