-
www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - Upon LIP order for administration,
RN call Lab, place order
Scans
verify? … Send sample
with order form to Lab
Step 2. … Sample Arrival
Lab scans barcode on order form
and sample
Dispense component
Step 3 Dispense
Lab … scans Unit Index Card and bag tag hospital number to confirm
proper patient, Lab scans Bag Tag Unit … - sample scanned into the blood bank
Dispensed from Lab – blood product dispensed/scanned out of the
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - For example, why did a patient with diabetes not have an HbA1c lab value
in his or her chart for the … Did his or her
clinician order the lab test? If so, what happened next? … Did the lab result arrive and not get entered into the record? … The PF obtained medical records for 10 patients who did not have the required lab work recorded
and … ’ last lab values had been normal.
-
www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - Yale Center for Healthcare Innovation, Redesign, and Learning
Long Description
Principal Investigator: Sarwat Chaudhry, M.D., Yale University, New Haven, CT
AHRQ Grant No.: HS23554
Project Period: 09/30/14–09/29/19
Description: The goal of CHIRAL was to improve transitions of care. Patients being …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
June 02, 2025 - Our second type of transition will be a handoff to the lab. … Whenever a patient needs labwork, the PCT will accompany the patient to the lab and explain to the lab … Scenario 3
• Handoff from MA to lab
technician
• Mr.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
June 02, 2025 - Our second type of transition will be a handoff to the lab. … Whenever a patient needs labwork, the PCT will accompany the patient to the lab and explain to the lab … after dinner as prescribed and is not taking any additional medicines.
9
Scenario 3
Handoff from MA to lab
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - status ONLY IF other foci of infections are not identified on history, on examination, or from other lab … (by evidence-based hospital policy)
☐ YES ☐ NO
Was the specimen transported to the lab per hospital policy … If not known for this patient, inquire of staff how urine cultures are obtained and transported to lab … Ask what happens if specimen cannot be immediately transported to the lab. … ☐ NO ☐ Patient did not receive services from non-nursing units such as radiology, catheterization lab
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - The lab is staffed by two master's-level laboratory technicians (MLTs)—one of whom is the lab supervisor—and … The lab is staffed by two master's-level laboratory technicians (MLT)—one of whom is the lab supervisor—and … Ordering lab tests and collecting vital signs
MA collects vital signs and orders lab tests. … LVN does the injections, and the lab does the venipuncture. … The individual provides trainings and nursing education, and manages the medical lab.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - Microbiology lab must notify the facility if patient has a culture growing a multidrug-resistant organism … You call the physician to relay the information from the microbiology lab
15
This is the nurse for … The lab just called me, and he has a resistant organism growing in his urine culture. … The lab just called – he has a resistant organism in his urine. … neurogenic bladder
Saturday: T 99⁰F for > 8 hours
Subdued, vague pain
Sunday: start antibiotics; obtain lab
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - To help us plan the new facility, we conducted a national learning lab,
drawing what we could about … Methods
Learning lab
Given the lack of data available on how the design of health care facilities … Top 10 recommendations from learning lab
1. Design FMEA at each design stage.
2. … The national learning lab recommended 11 culture of
safety goals for St. Joseph’s (Table 3). … Top 10 recommendations from learning lab
Table 2. Facility safety design principles
Table 3.
-
www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool1a1.html
April 01, 2018 - [INSERT HERE: YOUR LAB'S NAME] has provided a short form to return kits to the lab for processing. … You can also call the lab for specimen pickup at [INSERT HERE: LAB CONTACT PHONE NUMBER]. … The stool test kit will identify the patient by a unique number (the number below the lab return address
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - Clinical/Sr
Leader
Support
Staff
- Tech
nologist/
Technician
(EKG,Lab,
Radiol)
Therapist … Clinical/Sr
Leader
Support
Staff
- Tech
nologist/
Technician
(EKG,Lab,
Radiol)
Therapist … Clinical/Sr
Leader
Support
Staff
- Tech
nologist/
Technician
(EKG,Lab,
Radiol)
Therapist … Clinical/Sr
Leader
Support
Staff
- Tech
nologist/
Technician
(EKG,Lab,
Radiol)
Therapist … Clinical/Sr
Leader
Support
Staff
- Tech
nologist/
Technician
(EKG,Lab,
Radiol)
Therapist
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
June 02, 2025 - As facilitator, play the role of the lab technician.
2. … The staff member will engage in
Warm Handoff Plus with the lab technician.
3. … The
staff member will now engage in a Warm Handoff Plus with the lab technician.
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
April 01, 2018 - suppliers of stool test kits and one or more clinical laboratories to process them (the processing lab … Have or develop a business associate relationship with the clinical lab—or use a lab it operates—to allow … the lab to report screenings and results to the central entity. … In order to avoid charging patients for the cost of the kits, we negotiated an agreement with the lab … We also arranged for the lab to donate some additional kits so that we could mail a subset of patients
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - department
☐ Front-line nurses
☐ Infectious diseases physicians
☐ Information technology
☐ Microbiology lab … Microbiology
Do you have an onsite microbiology lab? … ☐ Yes
☐ No
Does the ASP have a regular meeting with the microbiology lab to discuss issues relevant … Yes: Stratified by unit
☐ Yes: Urine isolates
☐ Yes: Blood isolates
☐ No
Does your microbiology lab … ☐ Yes
☐ No
☐ N/A
➕Does your microbiology lab blind any culture or susceptibility results as a strategy
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - the current situation, signs and symptoms of the presenting complaint, and any test results, such as lab
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - The lab is staffed by two master’s-level laboratory technicians (MLTs)—
one of whom is the lab supervisor—and … The lab is staffed by two master’s-level laboratory technicians (MLT)—
one of whom is the lab supervisor—and … Ordering lab tests and
collecting vital signs
MA collects vital signs and orders lab tests. … LVN does the injections, and the lab does the
venipuncture. … The individual provides trainings and nursing education, and manages the
medical lab.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - pain/joint disorder
Weakness
Other Changes in Condition, Not Specified Elsewhere:
Abnormal lab
-
www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - other
participants included human factors experts, information technology specialists, pharmacists, lab … and ED administration, a human factors engineer, information technology
specialists, pharmacists, lab … TESTING RADIOLOGY TESTING MEDICATION DELIVERY
Ordering Ordering Ordering
Delay or failure to order lab … (s)
Wrong lab(s) ordered
Delay or failure to order
Wrong study ordered
Delay or failure to order … hemolyzed
Lost or misplaced specimen
Specimen mislabeled or not labeled
Wrong test performed by lab
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/023-optimizing-evc-one-pager.docx
October 01, 2024 - Culturing1-3
· Samples are swabbed from HTs and cultured in a microbiology lab to identify and quantify … · Labor intensive and requires lab expertise.
· Delayed results; no immediate feedback.
· Not standard
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/113-cleaning-monitoring-methods-one-pager.docx
April 01, 2025 - Culturing1-3
· Samples are swabbed from HTS and cultured in a microbiology lab to identify and quantify … · Labor intensive and requires lab expertise.
· Delayed results; no immediate feedback.
· Not standard