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psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
July 12, 2006 - Copy Citation
Related Resources From the Same Author(s)
Clinical Lab Quality … May 27, 2020
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - The lab called infection control, who in turn notified the float
nurse caring for the patient. … In principle, the optimal choice of a particular lab test as a potential alert and
the selection of … Arch Pathol Lab Med. 2002;126:663-9.[ go to
PubMed ]
9. Lum G. … Ann Clin Lab Sci. 1998;28:261-71.[ go to PubMed ]
10. Tate KE, Gardner RM. … Example Critical Values For Some Common Laboratory Tests
ANALYTE
(Lab Test)
Critical
Values
Low
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - Sarah Mossburg: The two of you worked together on an AHRQ-funded patient safety learning lab (PSLL) … George Blike: The learning lab was a really great window where Sue and I had the ability to formulate … The ability to engage in this really formative process through the
learning lab was pretty incredible … That’s what the failure to rescue learning lab allowed us to look at in depth. … That work was part of the failure to rescue learning lab.
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Arch Pathol Lab Med. 1994;118:270-274. [go to PubMed]
3. Menke DM, Tiemann M, Camoriano JK, et al. … Arch Pathol Lab Med. 2006;130:604-606. [go to
PubMed]
6. Zarbo RJ, Meier FA, Raab SS. … Arch Pathol Lab Med.
2005;129:1237-1245. [go to PubMed]
7. Meier FA, Zarbo RJ, Varney RC, et al. … Arch Pathol Lab Med. 2005;129:459-466. [go to PubMed]
11. … Arch Pathol Lab Med. 2005;129:1246-1251. [go to PubMed]
12. Raab SS, Meier FA, Zarbo RJ, et al.
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - They facilitate: Easier and more accurate record keeping and scheduling; Automation of lab orders … and integration of lab reports; Links to pharmacies (including electronic prescribing) and computerized … , unforeseen problems inevitably arise, e.g., a requirement to provide a diagnostic code to order a lab … If the hospital had installed the full EMR in that lab, dermatopathologists could review cases and see … of this error because the physician entering the lab results would have been able to see the patient's
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psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
August 26, 2011 - December 30, 2014
WebM&M Cases
Amended Lab Results: Communication … Hospitals
Health Care Providers
Pathology and Laboratory Medicine
Missed or Critical Lab
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - January 17, 2012
Notification of abnormal lab test results in an electronic medical record … Care Providers
Facility and Group Administrators
Information Professionals
Missed or Critical Lab
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psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
July 14, 2010 - July 14, 2010
Notification of abnormal lab test results in an electronic medical record … September 1, 2016
Notification of abnormal lab test results in an electronic medical
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psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
April 14, 2011 - April 14, 2011
Notification of abnormal lab test results in an electronic medical record … Health Care Executives and Administrators
Information Professionals
Missed or Critical Lab
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - Sarah Mossburg: I understand that you both have been working in a patient safety learning lab that was … Could you tell us a little bit more about the patient safety learning lab itself, starting with
what … is the patient safety learning lab, who is part of it, and what you do as part of that process? … A key part of our patient safety learning lab is based on the SEIPS 3.0
idea of the patient journey. … Our patient safety learning lab started off with this idea of understanding the system, doing a work
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - Could you tell us a little bit more about the patient safety learning lab itself, starting with what … is the patient safety learning lab, who is part of it, and what you do as part of that process? … A key part of our patient safety learning lab is based on the SEIPS 3.0 idea of the patient journey. … Our patient safety learning lab started off with this idea of understanding the system, doing a work … Sarah Mossburg: Are the interventions from the patient safety lab being more broadly implemented or
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Could you tell us a little bit more about the patient safety learning lab itself, starting with what … is the patient safety learning lab, who is part of it, and what you do as part of that process? … A key part of our patient safety learning lab is based on the SEIPS 3.0 idea of the patient journey. … Our patient safety learning lab started off with this idea of understanding the system, doing a work … Sarah Mossburg: Are the interventions from the patient safety lab being more broadly implemented or
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-11
June 16, 2019 - examples of problems related to abbreviations, electronic prescribing, and communication of critical lab
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - Arch Pathol Lab Med. 2014;138:1150-
1155. [go to PubMed]
2. … Clin Chem Lab Med. 2009;47:1361-1365. … Arch Pathol Lab Med. 2009;133:960-966.
[go to PubMed]
4. Deetz CO, Nolan DK, Scott MG. … Arch Pathol Lab Med. 2014;138:788-793. [go to PubMed]
6. Laboratory Medicine Best Practices.
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - Two days after the mother’s discharge, the commercial and state lab tests were both reported as negative … Contamination at CDC lab delayed rollout of coronavirus tests. Washington Post . 2020. … Available at: https://www.washingtonpost.com/investigations/contamination-at-cdc-lab-… . … Available at: https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antigen-tests-g… . … Clin Chem Lab Med . 2020;58(12):2131–2140. doi:10.1515/cclm-2020-0978.
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - mammograms) are
transmitted to the relevant provider (13), and one could make the same argument for key lab … usual HIV ELISA screening assay been run (whose results return "positive" or "negative"
for HIV), the lab … If the former, the lab treats the
result as it would any new diagnosis of HIV and contacts the responsible … follow-up test results, such as designating a single responsible physician,
nurse, or clerk to check all lab … check tests,
mandating that laboratories or radiology departments contact providers about critical lab
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psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
January 24, 2024 - Hospitals
Health Care Providers
Information Professionals
Pulmonology
Missed or Critical Lab
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - KH: Tell us a bit about that work as an AHRQ Patient Safety Learning Lab and how your interest in this … KT: [AHRQ’s Patient Safety] Learning Lab is an ideal mechanism for this space because it gives us an … KH: And so for your Learning Lab work, it’s really focused around that first week after going home? … AS: That’s the focus of the Learning Lab, but we’re interested in the whole life, right? … This has grown out of our lab and is now something used across the health system for action.
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - KT: [AHRQ’s Patient Safety] Learning Lab is an ideal mechanism for this space because it gives us an … KH: And so for your Learning Lab work, it’s really focused around that first week after going home? … AS: That’s the focus of the Learning Lab, but we’re interested in the whole life, right? … Many of our PSLL [Patient Safety Learning Lab] team members are now part of a UNC Health System-wide … This has grown out of our lab and is now something used across the health system for action.
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psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa.