Communicating Critical Test Results
A Learning Collaborative on Safe Practice Recommendations
May 12, 2003
The Massachusetts Coalition for the Prevention of Medical Errors, together
with the Massachusetts Hospital Association, is hosting two learning collaboratives
on Safe Practices to Promote Patient Safety in the areas of Reconciling
Medications and Communicating Critical Test Results. The Coalition, through
consensus groups, has identified safety practices based on the literature
and national models to address these clinical problems and reduce related
errors. A two-year program including collaborative learning opportunities
and other support to facilitate and promote safe practice implementation
for the following two topic areas is underway.
The first learning collaborative to support hospital teams in the Communicating
Critical Test Results initiative will be held May 12. The program objectives,
audience, agenda, and registration materials are provided below.
The program will cover the following topics:
This program is designed to engage teams from Massachusetts hospitals
in improving patient safety by adopting a set of identified safe practices
for communicating critical test results.
- Identification of a set of safe practices for communicating critical
- An overview of the Model for Improvement as it relates to this safe
- Facilitated workshop sessions on:
- Identifying what tests require timely and reliable communication
How to shorten the list, create a list for cardiology/radiology, set time
frames for notification
- Improving internal communication systems
How to implement a hospital fail-safe system, identify and use the most
appropriate technology, establish a shared policy, build in reliability
- Reaching a provider who can take action
How to link the patient with a provider on admission, identify who is
responsible when that provider is not available, centralize a call system
- Organizational barriers to implementation, and how to overcome them.
Participants will learn how to:
Who Should Attend:
- Develop an action plan for implementation at their institution with
aims, measures, time frames and role responsibilities clearly defined.
- Formulate ideas about implementation strategies for key components of
- Identify expected barriers to implementation and proposed strategies
to overcome these barriers.
Hospital implementation teams of 3-6 people from the following disciplines:
- Physician leader 5. Patient safety/QI representative
- Nursing leader 6. House officer representative
- Laboratory leader 7. Staff nurse/nurse educator
- Communications representative 8. Cardiology/Radiology representative
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