Case study

  • Date:
  • Category:
    Resolving an issue through business as usual


A laboratory technician notices that some of the samples coming from a ward have labels that have not been completed properly, and they are concerned that this could lead to errors in testing in the future.

They raise their concern with their manager who contacts the ward manager.  The ward manager notes the problem, and agrees to mention this at the next ward meeting.  They also send an email to all ward staff to ensure practices change as quickly as possible.

The technician does not notice any other errors over the next few weeks and is satisfied that the issue has been resolved through business as usual processes.

Updated: January 8, 2020