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hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.pdf
April 23, 2009 - Late in the project the DOH team followed up on the lab data currently collected in the
department’ … Utilizing the lab reporting system
established under the CDC’s National Electronic Data Surveillance … that allows for direct data entry of a lab data subset
for those hospitals who do not yet maintain … their lab data electronically. … • States often capture lab data in other divisions and programs.
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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
Copy Citation
…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs020909-dixon-final-report-2017.pdf
January 01, 2017 - Lab and HIE reports were generally more complete than
provider reports with a few notable exceptions … results they receive,
regardless of limited information provided on lab reports. … Lab reporting rates were highest with
nearly all cases including a laboratory report. … The most timely data source is the HIE, which sends electronic lab
reports within 2-3 days (although … Source Chi Square p-value
Provider 0.04 0.8435
Lab via HIE 1.77 0.1828
Discussion
The results
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompsd.jsp
June 01, 2024 - information on all emergency room, ambulatory surgeries, observation visits, therapies, outpatient lab … Outpatient (Lab/Radiology) Only - Any record not classified as Emergency Room, Ambulatory Surgery, Observation … record not classified as Emergency Room, Ambulatory Surgery, Observation, Therapies, or Outpatient (Lab
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/zind-b-2009-response
January 01, 2009 - They can't yet electronically transmit lab and x-ray orders, and she finds she is doing many tasks that … We still don't have a direct interface with the lab orders.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Cases
Hemolysis Holdup
May 1, 2017
Weak oversight allows lab … April 1, 2009
Hospitals move to cut dangerous lab errors.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUPfinalNov09BDiefenbach.pdf
November 01, 2009 - Information and Policy Analysis
LOINC Mapping & Data Transmission Timeline
LOINC Mapping
Completed
Lab … FTP files 2
Lab System support analyst Data extraction 10
Outcomes Research Manager Project Coordination … Database structure on lab system Multiple extracts with links was
required
Patient Data unavailable … Increase efficiency by using current lab system
data.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/clinical-decision-support-tools.pdf
November 16, 2023 - Medications
Medication guidance
Medications are
divided by class
11/16/2023 15
Smart Set: Lab … Smart Set
Slide 13: Smart Set: UI Diagnosis
Slide 14: Smart Set: Medications
Slide 15: Smart Set: Lab
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psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
January 06, 2017 - claims data from two large health plans, the investigators selected 11 drugs and their recommended lab … includes 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-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - Investigators discovered that nearly 40% of patients enrolled had a pending lab or radiology test with … Clinical Technologists
Physicians
Facility and Group Administrators
Missed or Critical Lab
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
January 01, 2012 - June 2011 Hospital Work Areas 2011 National Comparisons
Medicine Surgery ED ICU Pharmacy Lab … 0.65% 0.00% 3.17% 0.72% 0.00% 0.94%
December 2010 Results Medicine Surgery Emergency ICU Pharmacy Lab … June 2011 Hospital Work Areas 2011 National Comparisons
Medicine Surgery ED ICU Pharmacy Lab … 0.65% 0.00% 3.17% 0.72% 0.00% 0.94%
December 2010 Results Medicine Surgery Emergency ICU Pharmacy Lab … June 2011 Hospital Work Areas 2011 National Comparisons
Medicine Surgery ED ICU Pharmacy Lab
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - disorder
|___| Weakness
Other Changes in Condition, Not Specified Elsewhere:
|___| Abnormal lab
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - If the specimen transport time to the lab is greater than 2 hours, the specimen should be refrigerated … is difficult to identify how long the specimen has been at air temperature prior to transport to the lab
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-mg-toxicity.html
July 01, 2023 - Lab result printouts or a simulated patient in the electronic medical record with the necessary lab results
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digital.ahrq.gov/principal-investigator/agha-zia
January 25, 2018 - Quantifying Electronic Medical Record Usability to Improve Clinical Workflow
LAB-IN-A-BOX … LAB-IN-A-BOX: semi-automatic tracking of activity in the medical office.
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digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
September 17, 2010 - radiology exams is 182,000
duplicates
• $10.9 million savings potential (182,000 * $60)
– Lab … • 13%-20% duplicate laboratory tests (Indiana/Santa Barbara)
• $27.75 is the average cost per lab … $10.9 million – Reduction of duplicate radiology studies
$14.4 million – Reduction of duplicate lab … Hospitals Physicians
Discharge summaries
Care summaries H&Ps
Clinical messages Radiology reports
Lab … Keystone Beacon Community
Hospitals
Discharge summaries
H&Ps
Radiology reports
Lab
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Clin Chem Lab Med. 2007;45:766-773. [go to PubMed] 6. Ehrmeyer SS. … Arch Pathol Lab Med. 2001;125:1307-1315. [go to PubMed] 10. Kost GJ. … Clin Lab Med. 2004;24:997-1022. [go to PubMed] 12. Meier FA, Jones BA. … Arch Pathol Lab Med. 2005;129:1262-1267. [go to PubMed] 13. Plebani M. … Lab Med. 2015;46:254-258. [go to PubMed] 15. de Vries C, Doggen C, Hilbers E, et al.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017020-singh-final-report-2010.pdf
January 01, 2010 - In both the
intervention and control groups, the majority of patients had appropriate lab monitoring … Rates of HEDIS-recommended lab monitoring for patients on chronic medications
Table 4a. … Taking Lab Ordered (%)* Results in Chart (%)**
Intervention Pre 400 23 11 (48) 10 (91)
Intervention … Taking Lab Ordered (%)* Results in Chart (%)**
Intervention Pre 400 6 3 (50) 2 (67)
Intervention Post … * = percent among patients taking this medication
** = percent among patients who had the lab
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - three toolkits for establishing the use of an antibiogram in the nursing home:
The Working with a Lab … Antibiotic) provides guidance and tools to help a nursing home create its own antibiogram based on lab
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psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - March 23, 2012
WebM&M Cases
Amended Lab Results: Communication … Care Providers
Information Professionals
Pathology and Laboratory Medicine
Missed or Critical Lab