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psnet.ahrq.gov/issue/ariadne-labs
February 05, 2014 - Multi-use Website
Ariadne Labs.
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Ariadne Labs. Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health.
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Amended Lab Results: Communication Slip
Citation Text:
Mohta V. … Amended Lab Results: Communication Slip. PSNet [internet]. … Amended Lab Results: Communication Slip. PSNet [internet]. … Arch Pathol Lab Med. 2005;129:1252-1261. [go to PubMed] 4. … Amended Lab Results: Communication Slip. PSNet [internet].
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psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
August 17, 2016 - Newspaper/Magazine Article
Hospitals move to cut dangerous lab errors. … Citation Text:
Hospitals move to cut dangerous lab errors. Landro L. … Cite
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Hospitals move to cut dangerous lab
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psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - Newspaper/Magazine Article
Weak oversight allows lab failures to put patients at … Citation Text:
Weak oversight allows lab failures to put patients at risk. Gabler E. … URL
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Weak oversight allows lab … July 30, 2008
Hospitals move to cut dangerous lab errors. … Pathology and Laboratory Medicine
Diagnostic Test Interpretation Error
Missed or Critical Lab
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psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
April 13, 2022 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab … pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab … This qualitative study involving 25 individuals associated with the Safer Dx Learning Lab identified … pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
June 01, 2022 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab … team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab … In this study, procedures in the cardiac catheterization lab were observed to assess the frequency and … team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Arch Pathol Lab Med. 2005;129(10):1226–1276. … Arch Pathol Lab Med. 2005;129(10):1226–1276.
View more articles from the same authors. … Topics covered include insurance issues, pathology databases , and general pathology and lab error reduction … Arch Pathol Lab Med. 2005;129(10):1226–1276.
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psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
September 28, 2010 - Government Resource
Clinical Lab Quality: CMS and Survey Organization Oversight Should … Citation Text:
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. … Copy URL
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Clinical Lab
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psnet.ahrq.gov/node/36097/psn-pdf
July 12, 2006 - Clinical Lab Quality: CMS and Survey Organization
Oversight Should Be Strengthened. … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-
strengthened … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened … https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - Notification of abnormal lab test results in an electronic
medical record: do any safety concerns remain … Notification of abnormal lab test results in an electronic medical
record: do any safety concerns remain … https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety … https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns … https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - pathway to diagnostic excellence: the
challenges and successes of implementing the Safer Dx
Learning Lab … pathway to diagnostic excellence: the challenges
and successes of implementing the Safer Dx Learning Lab … This qualitative study involving 25 individuals associated with the Safer Dx Learning Lab
identified
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - team communication: closing the
loop on quality improvement efforts in the cardiac
catheterization lab … team communication: closing the loop on
quality improvement efforts in the cardiac catheterization lab … In this study, procedures in the cardiac catheterization lab were observed to assess
the frequency and
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Lab Med 2012;43:41-44. … Arch Pathol Lab Med 2010;134:1108–15. … Arch Pathol Lab Med 2016;140:1390-1396.
Snozek CL, Hernandez JS, Traub SJ. … J App Lab Med 2019;4:229-234. … Arch Pathol Lab Med 2010;134:244-255.
Nakhleh RE.
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psnet.ahrq.gov/node/36055/psn-pdf
August 09, 2007 - Hospitals move to cut dangerous lab errors.
August 9, 2007
Landro L. … https://psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
This article reports on a laboratory … https://psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
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psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory
November 16, 2022 - Arch Pathol Lab Med. 2008;132(11):1792-5. doi:10.1043/1543-2165-132.11.1792. … Arch Pathol Lab Med . 2008; 132 (11) :1792-5 . … Arch Pathol Lab Med. 2008;132(11):1792-5. doi:10.1043/1543-2165-132.11.1792. … Pathology and Laboratory Medicine
Diagnostic Test Interpretation Error
Missed or Critical Lab
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - de pointes
3
3
A Fatal Twist in Pseudohyperkalemia
A case highlighting how misinterpretation of lab … The lab sample was reported as hemolyzed, but this finding was not recognized by the treating physician … These findings could have prompted the physician to question the validity of the lab measurement. … Inconsistent findings should prompt consideration of lab error (e.g., pseudohyperkalemia). … J Appl Lab Med. 2020;5(2):332-341. [Free full text]
Khodorkovsky B, Cambria B, Lesser M, Hahn B.
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psnet.ahrq.gov/node/44169/psn-pdf
November 06, 2015 - Weak oversight allows lab failures to put patients at risk.
November 6, 2015
Gabler E. … https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
Reporting on weaknesses … https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
November 16, 2022 - Arch Pathol Lab Med. 2017;141(2):255-259. doi:10.5858/arpa.2016-0167-CP. … Arch Pathol Lab Med . 2017; 141 (2) :255-259 . … Arch Pathol Lab Med. 2017;141(2):255-259. doi:10.5858/arpa.2016-0167-CP. … Hospitals
Health Care Providers
Pathology and Laboratory Medicine
Missed or Critical Lab
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - (5)
The follow-up lab tests again were not available for review
during the Infectious diseases clinic … • Are the necessary lab and clinic follow-up orders placed
and communicated? … discharge location
• IV antibiotic order with correct duration
• Appropriate IV access established
• Lab … • Patient was seen for follow-up in the Ortho Clinic, but lab results
unavailable for review
• … run
effectively and successfully.5,6
• OPAT team must ensure active follow-up and management of
lab
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psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
December 03, 2008 - The authors describe a strategy for using corrected lab reports to evaluate laboratory-related adverse … Screening Tool: Delayed Treatment
September 1, 2017
Weak oversight allows lab … Pathology and Laboratory Medicine
Diagnostic Test Interpretation Error
Missed or Critical Lab