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