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psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - When "Psychiatric" Symptoms Are Not
February 1, 2003
Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
The Case
A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a
danger to oth…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Monitoring
Are appropriate monitoring steps being taken for lab assessments as well as
registration … assessed
and implemented
Checklists and Double-Check
Systems
Instituting a process for necessary lab
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - For completeness, the evaluating physician added a serum
drug level to the other lab tests and was surprised … second
error was discovered after a sample of the remaining suspension was sent to an independent lab
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Arch Pathol Lab Med. 2003;127:541-8.[ go to PubMed ] 10. Renner SW, Howanitz PJ, Bachner P. … Arch Pathol Lab Med. 1993;117:573-7.[ go to PubMed ] 11. Howanitz PJ, Renner SW, Walsh MK. … Arch Pathol Lab Med. 2002;126:809-15.[ go to PubMed ] 12. Stark DP, House A.
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Arch Pathol Lab Med. 2003;127:541-8.[ go to PubMed ]
10. Renner SW, Howanitz PJ, Bachner P. … Arch Pathol Lab
Med. 1993;117:573-7.[ go to PubMed ]
11. Howanitz PJ, Renner SW, Walsh MK. … Arch Pathol Lab Med.
2002;126:809-15.[ go to PubMed ]
12. Stark DP, House A.
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - point-of-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/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - Care Providers
Information Professionals
Pathology and Laboratory Medicine
Missed or Critical Lab
-
psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
December 03, 2014 - Safety Professionals
Pathology and Laboratory Medicine
Clinical Misdiagnosis
Missed or Critical Lab
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psnet.ahrq.gov/issue/between-demarcation-and-discretion-medical-administrative-boundary-locus-safety-high-volume
June 14, 2017 - Ambulatory Care
Physicians
Medicine
Ordering/Prescribing Errors
Missed or Critical Lab
-
psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - February 15, 2011
Notification of abnormal lab test results in an electronic medical
-
psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
September 06, 2017 - Departments
Emergency Medicine
Emergency Nursing
Clinical Misdiagnosis
Missed or Critical Lab
-
psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
July 28, 2010 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
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psnet.ahrq.gov/issue/relationship-between-physician-practice-characteristics-and-physician-adoption-electronic
November 13, 2013 - December 21, 2011
Notification of abnormal lab test results in an electronic medical
-
psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
June 27, 2012 - team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab
-
psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
November 20, 2015 - Clinic or Office
Health Care Providers
Safety Scientists
Primary Care
Missed or Critical Lab
-
psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
July 27, 2016 - Units
Health Care Providers
Information Professionals
Critical Care
Missed or Critical Lab
-
psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
November 20, 2015 - Care
Health Care Executives and Administrators
Patients
Primary Care
Missed or Critical Lab
-
psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
June 09, 2015 - pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab
-
psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
July 16, 2013 - Hospitals
Health Care Providers
Pathology and Laboratory Medicine
Missed or Critical Lab
-
psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - Care Providers
Health Care Executives and Administrators
Diagnostic Errors
Missed or Critical Lab