HRQ |
Qualifications |
A mismatch between an individuals qualification, training or education and a particular task.
Example Expecting a technician to solve the same type of difficult problems as a technologist. |
HRC |
Coordination |
A lack of task coordination within a health care team in an organization.
Example Essential task not being performed because everyone thought that someone else had completed the task. |
HRV |
Verification |
The correct and complete assessment of a situation including related conditions of the patient/donor and materials to be used before beginning the task.
Example Failure to correctly identify a patient by checking the wristband. |
HRI |
Intervention |
Failures that result from faulty task planning and execution. This would be selecting the wrong rule or procedure (planning) or executing the procedure incorrectly.
Example Washing red cells by the same protocol as platelets. |
HRM |
Monitoring |
Monitoring of process or patient status.
Example Trained technologist operating an automated instrument and not realizing that a pipette that dispenses reagents is clogged. |