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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - Int J Lab Hematol. 2022;44(3):497-503. doi:10.1111/ijlh.13820. … Int J Lab Hematol . 2022; 44 (3) :497-503 .
View more articles from the same authors. … Int J Lab Hematol. 2022;44(3):497-503. doi:10.1111/ijlh.13820.
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psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
August 04, 2021 - Arch Pathol Lab Med. 2009;133(2):295-7. doi:10.1043/1543-2165-133.2.295. … Arch Pathol Lab Med . 2009; 133 (2) :295-7 .
View more articles from the same authors. … Arch Pathol Lab Med. 2009;133(2):295-7. doi:10.1043/1543-2165-133.2.295.
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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Clin Chem Lab Med. 2015;53(2):239-47. doi:10.1515/cclm-2013-1053. … Clin Chem Lab Med . 2015; 53 (2) :239-47 .
View more articles from the same authors. … Clin Chem Lab Med. 2015;53(2):239-47. doi:10.1515/cclm-2013-1053.
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
January 01, 2023 - Approve renewal on E-prescribing system and save records in E-prescribing
E-prescribing system includes lab … Decision
Decide if prescriber has approved request by looking up information such as last visit, lab … coverage; complete preprescriptionion and save records in E-prescribing
E-prescribing system includes lab
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/morrow-j-2004-davies
January 01, 2004 - management system
Type of Health IT Functions
Specialized software was utilized to report patient lab … It manages orders, procedures, prescriptions, lab results and other data previously collated into patient … medication lists; generate preventative care reminders; receive medication interaction, allergy or lab … improves patient safety by allowing doctors instantly to check potential drug interactions and receive lab … "The upgraded telephone system created an automated lab system ... where patients can call in to get
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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
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psnet.ahrq.gov/node/35419/psn-pdf
February 15, 2010 - Arch Pathol Lab Med. 2005;129(10):1226–1276. … Topics covered
include insurance issues, pathology databases, and general pathology and lab error reduction
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Arch Pathol Lab Med. 2005;129:1252–1261. [go to PubMed]
6. Valenstein PN, Raab SS, Walsh MK. … Arch Pathol Lab Med. 2006;130:1106–1113 [go to PubMed]
7. … Arch Pathol Lab Med. 2002;126:663–669. [go to PubMed]
9. Howanitz PJ, Renner SW, Walsh MK. … Arch Pathol Lab Med. 2002;126:809–815. [go to PubMed]
10. … Lab Errors Patient Saf. 2005;1:9–11.
15. Bologna LJ, Mutter M.
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psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
April 29, 2018 - Facility and Group Administrators
Information Professionals
Medicine
Missed or Critical Lab
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - It was unclear if a "read-back" occurred between the lab tech and the
charge nurse, who was covering … best practice" satisfies both goals simultaneously; that is, engaging in a read-back to ensure
that lab … Proposed "Best Practice" for a read-back of critical lab values
Lab Tech: Hello. … This is Larry Hastings in the lab. Are you responsible for Harold Jackson, age 72? … Lab Tech: Correct. Thanks for the confirmation.
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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.
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digital.ahrq.gov/sites/default/files/docs/page/2006Overhage_051711comp.pdf
June 16, 2021 - care
Research
Decision-support
Disease management & community health
improvement
Public health lab
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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 …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - bi-directional interface ... to facilitate electronic transfer of outgoing provider orders and incoming lab … When a physician orders a lab test, the request is sent electronically. … Previously, orders were printed for patients to take to the lab themselves, creating an opportunity for … Similar gains have been realized with patients phoning for radiology and lab results."
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - As these lab test dates become due, the Medication Metronome system reminds patients via letter and informs … A key requirement prior to initiating the system was the implementation of computerized lab order entry … The lab order entry module was finalized in March 2012 and onsite training sessions were conducted for … Following testing of the lab module, the Medication Metronome interface was re-tested and finalized and
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psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
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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.
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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
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.pdf
December 31, 2007 - Agency for Health Care Administration
Florida Center for Health Information and Policy Analysis
Lab … Result Interface Code Comparisons
Lab Test Name All
Children’s
Miami
Children’s
BayCare
Health … Agency for Health Care Administration
Florida Center for Health Information and Policy Analysis
Lab … Result Interface Code Comparisons
Lab Test Name LOINC Name
SGPT Alanine aminotransferase:CCnc:Pt:Ser … Agency for Health Care Administration
Florida Center for Health Information and Policy Analysis
Lab
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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