The Laboratory

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Communication Recording Instrument
Observer:__ _
6 What part of the processIs the specimen In?
Date: _ Registration
1 Duration (In seconds) _
2 Between Whom
Initiator: _
Recipient: _
3 Location: (Use reoiplentlocatlon)
Accession - Zone 1
Zone 2
Zone 3
Hematology - Zone 1
Zone 2
Zone 3
Zone 4
Chemistry - Zone 1
Zone 2
Zone 3
Zone4 _
4 What was the proximity of the person to
whom the question was asked?
Same zone
Different Zone
Different department
(Record departments)
5 What Is the communication about?
Locating a specimen
Validation of work
Technical Query
Administrative query
Work frustrations
Personal communication
• Other _
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Delivery to Core lab
Analysis
Results
N/A
7. What was the source of the question?
Lack of 'Best Practices'
Lack or training or knowledge
Bottle neck
Teamwork necessity
• Other _
8. Was the communication helpfulto the person
who Initiated It?
Yes No N/A
9. Did the communication result Into a positive
outcome?
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Yes No N/A m
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