Online Course – Risk Management – Level 1


M.O.R.E. Quality™ is a new perspective and process for laboratory quality control that has been proven to reduce existing error rates by up to 50%.

Attention: This is a self-directed course

The newest course from Zoe Brooks on Risk Management! This Level 1 Risk Assessor course mirrors and includes the book of the same name ($49 value). Learn how to setup properly designed QC charts, establish acceptable medical goals and patient risk levels, and create effective QC processes that will catch out-of-control situations, all without statistics! All key concepts are linked to an extensive glossary of terms.

ZBQC-Seal-001_ExampleThis course satisfies CMS’ IQCP and CLSI’s Guideline EP23A quality control and risk management requirements. It includes self-tests, competency assessment, and final competency exam. Certified by Zoe Brooks and AWEsome Numbers, Inc., and peer reviewed.

NOTE: Mathematically-OptimiZed Risk Evaluation™ applies only to methods that: [A] create numerical results, and [B] require stable sample/ surrogate/ external QC samples. The good news is this takes care of QC design and verification for most labs.

AWEsome online courses are delivered at AWEsome-U in Moodle, a university level learning platform.



How Will You Benefit From This Course?
  • Lower Patient Risk – The M.O.R.E. (Mathematically OptimiZed Risk Evaluation) process will help you to dramatically lower patient risk by ensuring that fewer bad patient results are released. Make physicians and patients happy!
  • Save Time – Instead of wasting time reviewing stacks of reports and confusing statistical jargon, use our CatalystQC reports to see your method performance at a glance through powerful summary reports, charts and quality grades. Use your time for more important tasks!
  • Reduce Costs – Using our M.O.R.E. Quality process will help you to reduce clinical costs and optimize resource utilization and laboratory costs within your laboratory. Be sure you are spending money on the right things!
  • Reduce Laboratory Error – Reduce existing statistical laboratory error by as much as 50% by using M.O.R.E. Quality. It clearly connects QC results to the number and clinical/legal cost of patient results that are medically-unreliable. Recognize lab errors within one run!
  • Improve Communication – Develop consistent, role specific communication for laboratory quality control throughout your organization. Learn and use the same terms, methodology and report interpretations.
  • Meet Regulations – Meet regulations such as CMS’ IQCP and CLSI’s Guideline EP23A quality control and risk management requirements by documenting your laboratory and method performance.
  • Practice risk management in relation to reducing patient risk and costs from reported laboratory errors;
  • Simplify Quality control and reduce risk/cost at the same time with minimal upfront cost;
  • Tailor the M.O.R.E. Quality Program to your own individual lab needs and for different levels of lab staff.
  • Implement improvements from easy to read M.O.R.E. Quality reports;
  • Improve communication between lab staff on quality issues;
What is included?

Learn M.O.R.E. Do M.O.R.E. Take the very first course.

This online course is presented in a combination of e-books, opinion polls, discussion forums, videos and self-test exercises.

You receive:

  • e-Book Managing Acceptable Risk with M.O.R.E. Quality ($49 value)
  • online course enrollment
  • discussion forums with facilitators
  • self-tests and feedback forums
  • references and videos
  • practice exercise to interpret risk metrics and risk graphics
  • competency examination
  • certificate of competency (with a 90%+ grade)
  • (You don’t accept an analytical process or QC process that fails 10% of the time; staff competency is of equal or greater importance.)
Who is this for?

This introductory course is intended for anyone who cares about laboratory quality, or the processes of quality management and leadership in general: quality consultants, financial administrators, laboratory directors, quality managers, clinical chemists, managers, supervisors, medical lab scientists.

Risk Management presents an opportunity to look at QC differently – and to change the mathematics that drive the QC process. M.O.R.E. Quality algorithms specify acceptable risk as the number of failures or MURs (Medically-Unreliable Results).

Traditional QC concepts have been taught in complex statistical terms and formal language that, quite frankly, fails the DIMS Test (Does It Make Sense) for 90% of the population. Laboratories are capable of much more effective quality control than is currently practiced – by using verified computer software to manage the complex math of more than ten individual risk drivers. Improving QC will reduce the number of errors reported and improve healthcare.

We want to communicate clearly with everyone.

Instead of trying to explain statistics, we choose to express the number and cost of patient risk in simple familiar language and images that convey exactly the same information to everybody. We hope you will understand if we speak a familiar language, make it easy to remember and throw in some humour! So relax and speak your mind.


What will you learn?

This course will teach you to:

  1. relate QC Process effectiveness to the number and cost of lab errors
  2. relate laboratory error to patient harm and cost
  3. ensure test result quality is appropriate for clinical use
  4. validate the ability of the QC procedures to detect medically allowable error
  5. assess current and potential costs both in terms of the patient’s well-being and financial liability
  6. recognize how Risk Management and Mathematically-OptimiZed Risk Evaluation differ from Statistical QC

NOTE: Mathematically-OptimiZed Risk Evaluation™ applies only to methods that:
[A] create numerical results, and
[B] require stable sample/ surrogate/external QC samples.

Module I (Introduction)

Who should take this course?
Are there prerequisites? Do I need to know statistics?
Where is the rest of the process?
You are an AWEsome Risk Assessor!
Making the most of the book
Helpful Hints
1: Check the fonts
2: Practice The DIMS Test
3: Think for Yourself
4: Use ALL of your intelligences!
5: “A number is A thing OF AWE”
6: What will you think and do?
Meet the Team

Module II (Fundamentals of Laboratory Risk Management)
What is Risk Management?
Managing risk in medical labs
What causes unacceptable risk?
Understand the concept
Understand the words
Understand your role
Know who is in charge “CARL, PARL & The PIPS”

Module III (Assessment of Patient Risk)
Lab results impact patient risk
QC samples represent patients
Medical Goals
Acceptable risk?
Clinical & Financial Risks
How much risk exists now?
Prevalence of Visible Errors
Source of Errors
Cost of invisible MURs
Average cost per MUR
Cost of repeat tests
Another look at costing Quality-2016

Module IV (Evaluating Risk)
Enter Risk Drivers
Clinical impact of method bias
Clinical impact of imprecision
Impact of QC Effectiveness
Statistical QC and M.O.R.E.
Role of QC Charts and Rules
Replace Stats with Words
Teach Critical Thinking
The process of Mathematically- OptimiZed Risk Evaluation™
Glossary+ of QC Terms & M.O.R.E.

Module V (Go ahead. Assess Risk)
Assess current and potential costs both in terms of the patient’s well-being and financial liability
Verify acceptable current risk (Is risk OK now?)
Verify acceptable potential risk (Will QC detect failure?)
Quantify current & potential risk and clinical cost of lab errors.
Determine appropriate action.

ZBQC-Seal-001_ExampleModule VI (References and Resources)

Module VII (Self-Test Quizzes)

Module VIII (Competency Exam)
This course carries a certificate with the Zoe Brooks Seal of Quality.
It is a tough exam, and it takes 90% to pass.

Learn More About The Authors

Zoe C. Brooks, ART Author, Facilitator

Zoe_Tennyson_4Zoe Brooks is a visionary, teacher, author and entrepreneur who has dedicated her career to medical laboratory quality improvement.

Zoe created the process of Mathematically-OptimiZed Risk Evaluation™ and introduced the ‘Risk-Based Quality Grade(c)’ and ‘DIMS test’ to the laboratory community. She is author of the “Performance-Driven Quality Control” text book published by AACC press in 2001 plus numerous publications. Zoe served as an advisor on the CLSI committee to create EP 23-A.

Zoe is also the inventor of the Nurtural Bitless Bridle for horses. Her unique blend of statistical prowess and good old fashioned horse sense create a personal and pleasurable learning experience.