Alert signs for each EPA
| EPA statement . | Alert signs . |
|---|---|
| Diagnosing and assessing patients with hematological disorders | Consistent inability to obtain clinical history using a logical anamnesis or physical examination Repeatedly disregards relevant information from medical history Frequently erases medical records |
| Providing and implementing a therapeutic plan for patients facing benign hematological disorders | Repeatedly disregards failures in previous treatments Consistently ignores typical signs and symptoms of treatment toxicity Consistently fails to implement measures to prevent and/or mitigate toxicity |
| Providing and implementing a therapeutic plan for patients facing malignant hematological disorders | Repeatedly disregards failures in previous treatments Consistently ignores typical signs and symptoms of treatment toxicity Consistently fails to implement measures to prevent and/or mitigate toxicity |
| Managing and stratifying patients with urgent or emergent complications of hematological disorders | Repeatedly fails to identify patients who require emergency care Consistently ignores the relevance of stratification systems and/or critical tests for decision-making |
| Recommending suitable patients for HSCT | Repeatedly disregards HSCT as part of the therapeutic plan, when indicated |
| Recommending and implementing palliative care for ineligible patients for curative care | Consistently ignores the concept of palliative care when evaluating patients ineligible for curative care Fully ignores the tenets of contemporary palliative care |
| Providing systematic follow-up for patients with chronic hematological disorders | Repeatedly fails to identify and monitor critical parameters required for the follow-up for patients with chronic diseases Repeatedly fails to provide high quality information regarding potential complications and alert signs |
| Providing continuous and progressive care for survivors of hematological cancer | Consistently ignores complications inherent to survivors of hematological cancer Fails to inform patients and relatives about long-term risks associated with hematological cancer treatment |
| Recommending transfusion therapy and managing their complications | Consistently prescribes transfusions based on outdated indications Ignores signs or symptoms of transfusion reactions and consistently fails to implement preventive and/or treatment measures Consistently ignores regulations involved in transfusion medicine practice |
| Recommending therapeutic apheresis, assessing and managing their complications | Consistently prescribes apheresis procedures based on outdated indications Ignores signs or symptoms of apheresis complications and consistently fails to implement preventive and/or treatment measures |
| Supervising blood donation procedure | Ignores legislation and clinical criteria for blood donation, consistently failing to perform donor screening and/or communication with the public Fails to implement basic procedures aimed to guarantee blood donor safety |
| Consulting patients with hematological manifestations of systemic disorders | Consistently fails to obtain clinical and laboratory data that are relevant to provide hematological consultation for other specialties Consistently fails to understand needs and questions in consultation requests |
| Communicating with patients and relatives | Consistently fails to communicate with patients, families, and other health care professionals to a level that puts patient safety at risk Consistently uses hostile or discriminatory language/behavior toward patients, relatives, caregivers, and/or coworkers Consistently fails to adequately register patient data in medical records |
| Synthetizing, reporting, and registering clinical cases and information for peers and different audiences | Consistently fails to organize a clinical history in a logical and clear fashion when discussing with peers, either by omitting essential data or overemphasizing noncritical information |
| Cooperating with coworkers as leader or as team member | Consistently fails to communicate with other health care professionals Repeated demonstrations of difficulties when performing in a team Ignores basic aspects of how health systems are organized to a level that jeopardizes treatment planning and/or patient safety Consistently ignores ethical standards of practice |
| Performing bone marrow procedures | Ignores basic technical aspects of the procedure Does not recognize signs or symptoms of complications Repeated negative feedback from patients, relatives, and/or coworkers about any aspect of the procedure |
| Recognizing, interpreting, and reporting cytological findings in peripheral blood and bone marrow smears | Consistently fails to identify critical alterations in laboratory results Ignores basic technical aspects of these tests to a level that jeopardizes clinical interpretation |
| Recommending and interpreting immunophenotyping and molecular tests for patients with hematological disorders | Ignores clinical impact of molecular-based essays, missing opportunities for proper use, or overusing/overinterpreting them Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |
| Recommending and interpreting other ancillary tests for patients with hematological disorders | Ignores a basic portfolio of laboratory tests necessary to support the diagnostic work-up of blood disorders Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |
| Recommending and interpreting tests for patients under transfusion therapy | Consistently fails to interpret even basic assays used in transfusion medicine Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |
| EPA statement . | Alert signs . |
|---|---|
| Diagnosing and assessing patients with hematological disorders | Consistent inability to obtain clinical history using a logical anamnesis or physical examination Repeatedly disregards relevant information from medical history Frequently erases medical records |
| Providing and implementing a therapeutic plan for patients facing benign hematological disorders | Repeatedly disregards failures in previous treatments Consistently ignores typical signs and symptoms of treatment toxicity Consistently fails to implement measures to prevent and/or mitigate toxicity |
| Providing and implementing a therapeutic plan for patients facing malignant hematological disorders | Repeatedly disregards failures in previous treatments Consistently ignores typical signs and symptoms of treatment toxicity Consistently fails to implement measures to prevent and/or mitigate toxicity |
| Managing and stratifying patients with urgent or emergent complications of hematological disorders | Repeatedly fails to identify patients who require emergency care Consistently ignores the relevance of stratification systems and/or critical tests for decision-making |
| Recommending suitable patients for HSCT | Repeatedly disregards HSCT as part of the therapeutic plan, when indicated |
| Recommending and implementing palliative care for ineligible patients for curative care | Consistently ignores the concept of palliative care when evaluating patients ineligible for curative care Fully ignores the tenets of contemporary palliative care |
| Providing systematic follow-up for patients with chronic hematological disorders | Repeatedly fails to identify and monitor critical parameters required for the follow-up for patients with chronic diseases Repeatedly fails to provide high quality information regarding potential complications and alert signs |
| Providing continuous and progressive care for survivors of hematological cancer | Consistently ignores complications inherent to survivors of hematological cancer Fails to inform patients and relatives about long-term risks associated with hematological cancer treatment |
| Recommending transfusion therapy and managing their complications | Consistently prescribes transfusions based on outdated indications Ignores signs or symptoms of transfusion reactions and consistently fails to implement preventive and/or treatment measures Consistently ignores regulations involved in transfusion medicine practice |
| Recommending therapeutic apheresis, assessing and managing their complications | Consistently prescribes apheresis procedures based on outdated indications Ignores signs or symptoms of apheresis complications and consistently fails to implement preventive and/or treatment measures |
| Supervising blood donation procedure | Ignores legislation and clinical criteria for blood donation, consistently failing to perform donor screening and/or communication with the public Fails to implement basic procedures aimed to guarantee blood donor safety |
| Consulting patients with hematological manifestations of systemic disorders | Consistently fails to obtain clinical and laboratory data that are relevant to provide hematological consultation for other specialties Consistently fails to understand needs and questions in consultation requests |
| Communicating with patients and relatives | Consistently fails to communicate with patients, families, and other health care professionals to a level that puts patient safety at risk Consistently uses hostile or discriminatory language/behavior toward patients, relatives, caregivers, and/or coworkers Consistently fails to adequately register patient data in medical records |
| Synthetizing, reporting, and registering clinical cases and information for peers and different audiences | Consistently fails to organize a clinical history in a logical and clear fashion when discussing with peers, either by omitting essential data or overemphasizing noncritical information |
| Cooperating with coworkers as leader or as team member | Consistently fails to communicate with other health care professionals Repeated demonstrations of difficulties when performing in a team Ignores basic aspects of how health systems are organized to a level that jeopardizes treatment planning and/or patient safety Consistently ignores ethical standards of practice |
| Performing bone marrow procedures | Ignores basic technical aspects of the procedure Does not recognize signs or symptoms of complications Repeated negative feedback from patients, relatives, and/or coworkers about any aspect of the procedure |
| Recognizing, interpreting, and reporting cytological findings in peripheral blood and bone marrow smears | Consistently fails to identify critical alterations in laboratory results Ignores basic technical aspects of these tests to a level that jeopardizes clinical interpretation |
| Recommending and interpreting immunophenotyping and molecular tests for patients with hematological disorders | Ignores clinical impact of molecular-based essays, missing opportunities for proper use, or overusing/overinterpreting them Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |
| Recommending and interpreting other ancillary tests for patients with hematological disorders | Ignores a basic portfolio of laboratory tests necessary to support the diagnostic work-up of blood disorders Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |
| Recommending and interpreting tests for patients under transfusion therapy | Consistently fails to interpret even basic assays used in transfusion medicine Ignores basic technical aspects of these assays to a level that jeopardizes clinical interpretation |