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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
September 18, 2024 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
December 18, 2024 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
November 13, 2024 - November 3, 2021
Notification of abnormal lab test results in an electronic medical record
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Arch Pathol Lab Med. 2006;130(5):604-606. [Free
full text]
3. Ferreiro JA, Myers JL, Bostwick DG. … Arch Pathol Lab Med. 2012;136(2):148-154. [Free full text]
11. Lehr, HA, Bosman FT. … Arch
Pathol Lab Med. 2016;140(1):29-40.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The Unfamiliar Catheter
Citation Text:
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - October 7, 2011
Notification of abnormal lab test results in an electronic medical record
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psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
August 19, 2009 - April 1, 2009
Hospitals move to cut dangerous lab errors.
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psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
October 25, 2023 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
January 24, 2024 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and
November 15, 2023 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - Arch Pathol Lab Med. 2015;139:621-626. [go to PubMed] 18. … Opportunity Lost
March 1, 2015
WebM&M Cases
Amended Lab … Health Care Providers
Pathology and Laboratory Medicine
Infectious Diseases
Missed or Critical Lab
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - her stoma site and was scheduled for esophagogastroduodenoscopy (EGD) in the Gastrointestinal (GI) lab … Patient B was transported directly from the ED to the OR instead of to the GI lab. … Patient B was transported back to the ED to await their GI lab procedure and Patient A was brought to
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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - Ambulatory Clinic or Office
Quality and Safety Professionals
Medicine
Missed or Critical Lab
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - See More About The Topic
Ambulatory Clinic or Office
Primary Care
Missed or Critical Lab
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psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
December 16, 2020 - Ambulatory Clinic or Office
Quality and Safety Professionals
Primary Care
Missed or Critical Lab
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psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - April 12, 2011
Hospitals move to cut dangerous lab errors.
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psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
September 07, 2022 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
May 20, 2019 - April 4, 2011
Notification of abnormal lab test results in an electronic medical record
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psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider
June 29, 2022 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab