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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi9.pdf
April 29, 2014 - Laboratory Tests and LOINC
Please identify the vendor or internal operation that reports each of the lab … C = CLH
D = DLS
I = In-house
O = Outside Facility (none of the three above, specify lab or vendor … )
Hospital/Vendor Completing Report:_____
Lab Test Lab Test Name LOINC Units Vendor
Chemistry
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - market solutions
No way to achieve comprehensive interoperability
Secure messaging (e.g., sending lab … the small medical practice with advanced clinical systems
Some national issues – e.g., pharmacy & lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number�
Data
- Demographics
- Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number�
Data
- Demographics
- Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number�
Data
- Demographics
- Lab
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL10AHRQprojectsummarytoHospitals.jsp
July 10, 2016 - Load the clinical lab data received from hospitals into an Oracle database in the Agency that holds the … 12
16
g/dL
Partial thromboplastin time
PTT
29
41
seconds
Additional Lab … to 3M.
3M normalization and mapping of lab terminology via LOINC
QA of LOINC normalized … lab technology
3M normalization and mapping of lab terminology via LOINC
Lab data translation … records from AHCA FTP sites
Insert data in Oracle database
Merge lab records with administrative
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.docx
October 01, 2016 - Formats
The medical director must become familiar with the format of the antibiogram provided by the lab … The medical director can talk with the lab to see if there are options available to choose from and select … For example, the lab can include only those organisms that were actually isolated in each year, or include … Refer to microbiologic lab results for %S information for a specific resident. … Refer to lab results for specific susceptibility of individual resident isolates.
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psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory
November 16, 2022 - Arch Pathol Lab Med. 2008;132(11):1792-5. doi:10.1043/1543-2165-132.11.1792. … Arch Pathol Lab Med . 2008; 132 (11) :1792-5 . … Arch Pathol Lab Med. 2008;132(11):1792-5. doi:10.1043/1543-2165-132.11.1792. … Pathology and Laboratory Medicine
Diagnostic Test Interpretation Error
Missed or Critical Lab
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - Who can perform the lab draws or in-office tests? … (if there isn’t an interface for the on-site lab). … the hospital lab. … The best practice would be to have a lab results interface from the
hospital lab in which they were … This will significantly impact the lab workflow.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
July 01, 2021 - Standing Lab Orders
Align policies and reimbursement for standing lab orders. … Develop efficient internal processes to encourage appropriate lab testing. … Reimbursement for Lab Tests
Allow reimbursement for labs drawn in behavioral health settings. … Standing Lab Order
One plan piloted an intervention program with key provider and lab partners to implement … , and/or the provision of lab reports from parents.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/data_collection.jsp
February 01, 2025 - (Developed by the Minnesota grantee)
Instructions for Extracting and Submitting Lab Data ( HTML ) … (Developed by the New York grantee)
Potential Solutions to Lab Data Extraction ( PDF file, 194 KB … (Developed by the Minnesota grantee)
Lab Tests Desired for AHRQ Project ( XLS file, 33 KB; HTML … )
Spreadsheet that lists lab test data requested from hospitals participating in the MN project. … (Developed by the Hawaii grantee)
Enhancing Hawaii Hospital Information Content: Linking Lab Data to
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - de pointes
3
3
A Fatal Twist in Pseudohyperkalemia
A case highlighting how misinterpretation of lab … The lab sample was reported as hemolyzed, but this finding was not recognized by the treating physician … These findings could have prompted the physician to question the validity of the lab measurement. … Inconsistent findings should prompt consideration of lab error (e.g., pseudohyperkalemia). … J Appl Lab Med. 2020;5(2):332-341. [Free full text]
Khodorkovsky B, Cambria B, Lesser M, Hahn B.
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www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
January 01, 2025 - The lab comprised pediatric physicians and nurses, systems engineers, simulation experts, and hospital … Although its work was limited due to COVID-19 pandemic restrictions, the lab successfully analyzed 1- … The lab developed the Neonatal Transport Discrete Event Simulation (DES) model, encompassing communication
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psnet.ahrq.gov/node/44169/psn-pdf
November 06, 2015 - Weak oversight allows lab failures to put patients at risk.
November 6, 2015
Gabler E. … https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
Reporting on weaknesses … https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
https://psnet.ahrq.gov
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-preeclampsia.html
July 01, 2023 - Lab result printouts or a simulated patient in the electronic medical record with the necessary lab results … Trigger #2
Lab staff member calls patient’s nurse with a critical test result:
Platelets 98,000 … Nurse reassesses maternal and fetal status
Trigger 2: Critical Lab Results … Additional Narrative [if needed]:
"I’m not sure why, but the lab said they are really busy right now … Trigger #2
Lab staff call patient’s nurse with a critical test result:
Platelets 98,000.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
June 01, 2014 - specifications available: N/A
Stage 1 & 2 Meaningful Use EH Menu †
Provide Structured Electronic Lab … Results to Ambulatory Providers g
Hospital labs send structured electronic clinical lab results … to the ordering provider for electronic lab orders received. … Results to Ambulatory Providers g
Hospital labs send structured electronic clinical lab results … to the ordering provider for electronic lab orders received.
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digital.ahrq.gov/sites/default/files/docs/page/2006King_051611comp.pdf
June 16, 2021 - eHealth Initiative
Core Entities and Data Elements currently received
Core Entity Patient ID Data Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number
Data
- Demographics
- Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number
Data
- Demographics
- Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number
Data
- Demographics
- Lab … identifier
- Patient name
- Date of birth
- Gender
- Social security number
Data
- Demographics
- Lab
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - The consulting pharmacist mentions that it took the lab 3 days to return results of an elevated INR for … Because the lab result took 4 days to come back, the resident was exposed to an additional 4 days of … Support from the administration may be needed to help remedy this situation and ensure that the lab is … There have been several incidents where we have not gotten results from the lab in a timely manner. … We would like your support in changing our communication system with the lab.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016162-richards-final-report-2009.pdf
January 01, 2009 - about the community lab interface project. … The final component was a community lab interface to take lab results
from a hospital lab system and … We surveyed the physicians that received lab
results in the prior year from the Shamokin lab, plus a … • Some tests are not performed by the community hospital lab, and are referred to another
lab. … Poster: Cost Effective Lab Interoperability.
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digital.ahrq.gov/sites/default/files/docs/medicaid/ComprehensivePatientScenario.docx
June 16, 2021 - Staff are signaled that a patient is waiting for a lab
c. … Demonstrate how a lab interface would work in the system
2. … Discuss what lab products you have interfaces already established
3. … Discuss how lab charges are pulled from dictation or lab report
4.
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psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
November 16, 2022 - Arch Pathol Lab Med. 2017;141(2):255-259. doi:10.5858/arpa.2016-0167-CP. … Arch Pathol Lab Med . 2017; 141 (2) :255-259 . … Arch Pathol Lab Med. 2017;141(2):255-259. doi:10.5858/arpa.2016-0167-CP. … Hospitals
Health Care Providers
Pathology and Laboratory Medicine
Missed or Critical Lab
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berman-h-2009-response
January 01, 2009 - I am better able to track medication refills, whether lab results have been reported to the patient, … "Staff no longer spends time hunting for charts, lab results, letters, reports, etc. … I think that this is because more tasks are completed in one sitting (lab ordering, prescriptions written … much more information at their fingertips; this includes patient history, current medications, current lab
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
July 01, 2019 - If lab tests are needed and time permits, the provider walks the patient to the lab for a warm handoff … Nurses can use standing orders to order lab tests. … Lab results are given to the provider who ordered them. … Lab staff (supervisor, administrative supervisor, or lab technician) typically call the provider only … or lab suite.