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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - care machines that allow patients to check their own INR at home (as opposed to having to go to a lab … Standardizing systems of care through lab integration and improved communication between
inpatient and … warfarin to newer oral anticoagulants, particularly for patients with unstable INRs or
those in whom lab
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - 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/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … 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.
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psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
January 17, 2024 - Clinic or Office
Primary Care
Internal Medicine
Clinical Misdiagnosis
Missed or Critical Lab
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psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
October 18, 2023 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
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psnet.ahrq.gov/node/45491/psn-pdf
May 09, 2017 - A systematic review of the types and causes of
prescribing errors generated from using computerized
provider order entry systems in primary and secondary
care.
May 9, 2017
Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing errors
generated from using computerize…
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psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
September 15, 2011 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - February 11, 2009
Hospitals move to cut dangerous lab errors.
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
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psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study
September 27, 2017 - Information Professionals
Pathology and Laboratory Medicine
Radiology
Missed or Critical Lab
-
psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
June 01, 2011 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
-
psnet.ahrq.gov/issue/dissemination-lean-methods-improve-pap-testing-quality-and-patient-safety
June 14, 2011 - Topic
Ambulatory Clinic or Office
Gynecology
Clinical Misdiagnosis
Missed or Critical Lab
-
psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
September 01, 2018 - Technologists
Information Professionals
Pathology and Laboratory Medicine
Missed or Critical Lab
-
psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - July 5, 2006
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - March 10, 2011
Notification of abnormal lab test results in an electronic medical record
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psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis
July 01, 2017 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
-
psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
December 30, 2014 - April 4, 2011
Notification of abnormal lab test results in an electronic medical record
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - Pathology and Laboratory Medicine
Diagnostic Test Interpretation Error
Missed or Critical Lab
-
psnet.ahrq.gov/issue/email-communicating-results-diagnostic-medical-investigations-patients
December 14, 2016 - The Topic
Health Care Providers
Information Professionals
Medicine
Missed or Critical Lab
-
psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
January 02, 2017 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab