A comprehensive PIR typically involves several key steps:
1. Incident Identification: The first step is recognizing that an incident has occurred. This could be a mislabeling of specimens, contamination, or erroneous staining. 2. Data Collection: Gather all pertinent information related to the incident, including laboratory records, equipment logs, and staff testimonies. 3. Root Cause Analysis: Employ techniques such as the 5 Whys or Fishbone Diagram to determine the underlying cause of the incident. 4. Impact Assessment: Evaluate the extent of the error's impact on patient care and laboratory operations. 5. Corrective Actions: Develop and implement strategies to address the root cause and prevent recurrence. This might include revising Standard Operating Procedures (SOPs), updating training programs, or maintaining equipment more rigorously. 6. Documentation and Reporting: Record all findings and actions taken in a formal report. This documentation is vital for future reference and compliance purposes. 7. Follow-Up: Monitor the effectiveness of the corrective actions and make further adjustments if necessary.
