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psnet.ahrq.gov/issue/special-section-association-directors-anatomic-and-surgical-pathology-symposium
February 15, 2010 - Arch Pathol Lab Med. 2005;129(10):1226-1276. … Facebook
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May 31, 2006
Arch Pathol Lab … Arch Pathol Lab Med. 2005;129(10):1226-1276.
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Arch Pathol Lab Med. 2012;136(2):148-54. doi:10.5858/arpa.2011-0400-SA. … Arch Pathol Lab Med . 2012; 136 (2) :148-54 . … Arch Pathol Lab Med. 2012;136(2):148-54. doi:10.5858/arpa.2011-0400-SA.
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psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - Clin Chem Lab Med. 2009;47(2):143-53. doi:10.1515/CCLM.2009.045. … Clin Chem Lab Med . 2009; 47 (2) :143-53 .
View more articles from the same authors. … Clin Chem Lab Med. 2009;47(2):143-53. doi:10.1515/CCLM.2009.045.
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psnet.ahrq.gov/issue/medicolegal-aspect-error-pathology-search-jury-verdicts-and-settlements
February 04, 2016 - Arch Pathol Lab Med. 2007;131(4):615-618. … Arch Pathol Lab Med . 2007; 131 (4) :615-618 . … Arch Pathol Lab Med. 2007;131(4):615-618.
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Clin Lab Med. 2004;24(4):913-43, vi. … Clin Lab Med . 2004; 24 (4) :913-43, vi .
View more articles from the same authors. … Clin Lab Med. 2004;24(4):913-43, vi.
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - claims data from two large health plans, the
investigators selected 11 drugs and their recommended lab … detailed presentation of the potential error rates
and how they differed among specific drugs and lab
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2. … Arch Pathol Lab Med . 2008; 132 (2) :181-185 . … Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
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psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - Clin Chem Lab Med. 2020;58(7):1070-1076. doi:10.1515/cclm-2020-0285. … Clin Chem Lab Med . 2020; 58 (7) :1070-1076 . … Clin Chem Lab Med. 2020;58(7):1070-1076. doi:10.1515/cclm-2020-0285.
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psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
September 01, 2012 - Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa. … Arch Pathol Lab Med . 2011; 135 (11) .
View more articles from the same authors. … Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa.
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psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
January 08, 2016 - Arch Pathol Lab Med. 2005;129(4):459-466. … Arch Pathol Lab Med . 2005; 129 (4) :459-466 . … Arch Pathol Lab Med. 2005;129(4):459-466.
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psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
November 18, 2016 - Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. … Clin Chem Lab Med . 2016; 54 (12) :1881-1891 . … Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Arch Pathol Lab Med. 2009;133(8):1297-300. doi:10.1043/1543-2165-133.8.1297. … Arch Pathol Lab Med . 2009; 133 (8) :1297-300 . … Arch Pathol Lab Med. 2009;133(8):1297-300. doi:10.1043/1543-2165-133.8.1297.
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - already placed in the cabinet by a different patient had not yet been labeled
and processed by the lab … tests, the requesting doctor, and/or the patient.(7) In another article
describing the epidemiology of lab … In this case, the patient
placed the urine specimen in the cabinet adjacent to the lab. … Often, patients deliver throat swabs, lab
requisitions, x-rays, and other clinical items to various … patient identification should be used for blood samples (12), and
this should apply to any kind of lab
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Amended Lab Results: Communication Slip
February 1, 2012
Mohta V. … Amended Lab Results: Communication Slip. PSNet [internet]. 2012. … https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
The Case
A 25-year-old woman in … practice guidelines for communicating critical test results (Figure 1).(
5,6) A critical aspect of lab … Arch Pathol Lab
Med. 2005;129:1252-1261. [go to PubMed]
4.
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - missed diagnoses of adolescent depression, elevated blood pressure, and delayed response to abnormal lab … to recognize and act on abnormal blood pressure values, and failure to notify families of abnormal lab
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - These mainly focused on ensuring appropriate follow-up of abnormal lab tests (particularly cancer screening … As failure to appropriately follow-up on lab abnormalities is a common source of patient harm in ambulatory
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psnet.ahrq.gov/node/46500/psn-pdf
June 27, 2018 - Ariadne Labs.
June 27, 2018
Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health.
https://psnet.ahrq.gov/issue/ariadne-labs
Checklists can help catch gaps in communication and process. This website provides resources related to
the use of checklists in surgical, obstetric, and other care environme…
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psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
January 23, 2017 - Arch Pathol Lab Med. 2022;146(7):886-893. doi:10.5858/arpa.2020-0761-oa. … Arch Pathol Lab Med . 2022; 146 (7) :886-893 . … Arch Pathol Lab Med. 2022;146(7):886-893. doi:10.5858/arpa.2020-0761-oa.
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psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
April 08, 2008 - Arch Pathol Lab Med. 2005;129(10):1246-1251. … Arch Pathol Lab Med . 2005; 129 (10) :1246-1251 . … Arch Pathol Lab Med. 2005;129(10):1246-1251.
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psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
February 18, 2009 - Scand J Clin Lab Invest. 2009;69(7):731-5. doi:10.3109/00365510903007018. … Scand J Clin Lab Invest . 2009; 69 (7) :731-5 . … Scand J Clin Lab Invest. 2009;69(7):731-5. doi:10.3109/00365510903007018.