Module 3, Lesson 2 - Process Overview

Discovery

Patient is going to surgery and the OR is asking for the blood. An autologous unit was previously donated by the patient. The product is ready for issue but can't be located. This caused a delay in the issue of the product.

Occurrence

In anticipation of surgery, a unit of autologous blood is drawn from the patient. However, the unit is not tagged properly and it mistakenly is placed into general inventory.

The Event Discovery Form is divided into two major sections:

Part A collects information about discovery where in the work process the event was discovered, a description of what was discovered, and information about how the event was discovered. Example

Part B collects information about occurrence where in the work process the event first occurred and a description of what occurred. Example


Page 3 of 5 - Detection