CTC medical assisting program incident resolution
April 22, 2015
The University of Alaska Fairbanks has completed its internal and external reviews
of the incident involving improper injections in the UAF Community and Technical College
medical assisting program. Information on those reviews and the resulting action by
the university is available below.
Background
In March of 2014, the University of Alaska Fairbanks administration learned that medical assisting students in clinical procedures courses at the UAF Community and Technical College had received practice injections with a substance known as Demo-Dose. Demo-Dose solutions are designed for use on mannequins or injection pads, not humans. More background on the initial incident is available by clicking this link.
As a result of the incident, the university began both internal and external investigations and immediately started reviewing its policies and procedures. The state Division of Public Health conducted a review and the university hired an external investigator, Amy Menard, to conduct a root cause analysis of the incident. The team at CTC has spent the last year making changes to its practices and policies, both in advance of and as a result of these investigations and reports.
The documents below outline the findings of the external investigations and the university’s responses in the wake of the incident:
Documents
Root cause analysis by Amy Menard
Incident timeline by Amy Menard
UAF summary of the incident and responses
UAF detailed responses to root cause analysis recommendations
UAF safety audit
Public health report
Feedback
Additional feedback on the reports or the university’s response can be shared via this web form: