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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania
December 06, 2006 - December 6, 2006
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be
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psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
June 23, 2009 - June 21, 2017
Weak oversight allows lab failures to put patients at risk.
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psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
May 11, 2005 - July 13, 2016
Weak oversight allows lab failures to put patients at risk.
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psnet.ahrq.gov/issue/va-punished-critics-staff-doctors-assert
June 23, 2009 - June 21, 2017
Weak oversight allows lab failures to put patients at risk.
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psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
September 06, 2011 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - I started practice when we had paper lab slips. … So, the transition to typed notes, lab results, radiology reports, autopsy reports, and gross pathology … Then if you wanted to look at that same patient's lab, you'd have to leave that with a bunch of keystrokes … and go into the lab part of the system to look up results. … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain
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psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
April 10, 2024 - About The Topic
Physicians
Discontinuities, Gaps, and Hand-Off Problems
Missed or Critical Lab
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - care panel, but I
see what the residents and my colleagues face in managing huge numbers of incoming lab … Even just managing a panel of hospitalized patients, my in-basket is overwhelmed with lab results from … opposed to having clinicians try to adapt their brain
and do the work to figure out which abnormal lab
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psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
June 23, 2010 - condition), and "backstage oversight" (monitoring of which the trainees were unaware, such as checking lab
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psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - His lab results revealed severe hypokalemia and hypomagnesemia (2.2 mmol/L and 1.2
mEq/L, respectively … paper order set with check-boxes to indicate the
appropriate replacement dose and route for specific lab … As an example, some
EHRs can proactively monitor patient data, such as lab results (e.g., potassium)
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psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
June 24, 2020 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Topic
Hospitals
Ambulatory Clinic or Office
Educators
Medicine
Missed or Critical Lab
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psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - More About The Topic
Hospitals
Clinical Technologists
Radiology
Missed or Critical Lab
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psnet.ahrq.gov/issue/leader-safety-storytelling-qualitative-analysis-attributes-effective-safety-storytelling-and
November 16, 2022 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/bringing-clinical-laboratory-strategy-advance-diagnostic-excellence
September 08, 2021 - February 15, 2010
Hospitals move to cut dangerous lab errors.
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psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions
January 12, 2022 - Ambulatory Clinic or Office
Medical Oncology
Chemotherapeutic Agents
Missed or Critical Lab
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psnet.ahrq.gov/issue/factors-associated-potentially-missed-diagnosis-appendicitis-emergency-department
December 16, 2020 - Topic
Emergency Departments
Emergency Medicine
Clinical Misdiagnosis
Missed or Critical Lab
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psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
October 07, 2020 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab