Introduction
TRA is an acronym that means Transfer, Retention and Application. TRA could be done using ADVISE model. ADVISE is an acronym that means:
• A for analytical learning.
• D for Descriptive learning.
• V for Visualization of ideas.
• I for Interactive assessment.
• S for Split testing.
• E for Experiential learning.
TRA
Transfer
Knowledge is being transfer to the student using different methods as video and case studies and presentations. Presentations and videos are powerful tools that helped me in the past to gain the knowledge I need.
Retention
Group discussion in my opinion is useful method that helps retaining knowledge and information.
Application
I found through practice the best way to retain knowledge is to apply it in real situation or teaching it to others.
ADVICE Model
I recently encountered at work an incident that I had to investigate the reason for failing proficiency. Using Root cause analysis method (RCA) I first analyze the steps being involved in processing the proficiency samples starting from receiving to reporting the results to NYSDOH. I also had to interact with the people who handled the specimens. I found out the specimens was stored correctly upon receiving than was ordered in the system and labeled correctly. I looked at all variables that could affect testing process, from temperature, human error, reagents and quality controls. I questioned the technologist who ran the specimen on the steps he did to analyze the specimen from the time he handed the specimen. I found out that the specimen was frozen prior analysis. The specimen should be completely melted and reach room temperature before analysis which requires that the specimen to be left at room temperature for an hour to reach the acceptable state for analysis. I discovered that the technologist ran the specimens after 30 minutes from the time it was taken out of the freezer which might be the reason for failing the proficiency. To confirm my finding I retested the samples of question which usually we store it tell we receive the result back from New York state department of health. By comparing the repeat testing results with the NYDOH results rang, I confirmed that the reason behind failing the proficiency was improper handling of the specimen prior testing.
After this finding I had to write a corrective action plan what should be done to avoid such error in the future.
Conclusion
Root cause analysis method uses ADVISE model elements