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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - This review outlines how specimen quality affects laboratory testing reliability and estimates costs … Author(s)
Causes, consequences, detection, and prevention of identification errors in laboratory … March 26, 2014
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory … 26, 2010
Causes, consequences, detection, and prevention of identification errors in laboratory … Topic
Hospitals
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. … Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. … https://psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and … https://psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis … https://psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
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psnet.ahrq.gov/node/60573/psn-pdf
June 10, 2020 - Universal and serial laboratory testing for SARS-CoV-2 at
a long-term care skilled nursing facility … Universal and serial laboratory testing for SARS-CoV-2 at a long-term
care skilled nursing facility … https://psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled … https://psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility … https://psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - The first was a laboratory error. … The laboratory is often unaware that the patient is pregnant. … Clinical laboratories should follow strict algorithms for contacting a responsible clinician when communicating … Toward optimal laboratory use. Problems in laboratory testing in primary care. … Errors in laboratory medicine: practical lessons to improve patient safety.
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … August 4, 2021
Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories … September 6, 2017
Towards a new paradigm in laboratory medicine: the five rights. … September 9, 2011
Laboratory results that should be ignored. … September 28, 2010
Identification errors involving clinical laboratories: a College of
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Given that space is at a premium in many hospital facilities, clinical laboratories may de-centralize … testing services across multiple buildings and placing high priority “STAT” tests in central laboratories … In some cases, samples may be sent to large referral laboratories in other states and require both ground … The frequency of lost samples reflects the challenges faced by hospital laboratories. … Specimen labeling errors: A Q-Probes analysis of 147 clinical laboratories.
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psnet.ahrq.gov/node/42582/psn-pdf
September 18, 2013 - When diagnostic testing leads to harm: a new outcomes-
based approach for laboratory medicine. … When diagnostic testing leads to harm: a new outcomes-based approach
for laboratory medicine. … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-
laboratory-medicine … This commentary recommends an approach to examine laboratory testing and identify weaknesses that … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
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psnet.ahrq.gov/node/38573/psn-pdf
April 22, 2009 - Causes, consequences, detection, and prevention of
identification errors in laboratory diagnostics. … Causes, consequences, detection, and prevention of identification
errors in laboratory diagnostics. … This review provides an overview of identification errors in laboratory medicine, building on past … https://psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
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psnet.ahrq.gov/issue/standardized-patient-identification-and-specimen-labeling-retrospective-analysis-improving
October 19, 2022 - 31, 2018
A randomized trial of electronic clinical reminders to improve medication laboratory … March 10, 2011
Clinical decision support improves the appropriateness of laboratory test … December 27, 2014
Decoding laboratory test names: a major challenge to appropriate patient … December 23, 2011
Medical errors arising from outsourcing laboratory and radiology services … July 30, 2008
Classifying laboratory incident reports to identify problems that jeopardize
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psnet.ahrq.gov/issue/final-check-say-it-out-loud
July 31, 2023 - A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory … June 1, 2012
Voluntary electronic reporting of laboratory errors: an analysis of 37,532 … laboratory event reports from 30 health care organizations. … January 14, 2011
Errors in laboratory medicine: practical lessons to improve patient … Physicians
Nurses
Quality and Safety Professionals
Internal Medicine
Pathology and Laboratory
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psnet.ahrq.gov/node/38261/psn-pdf
December 03, 2008 - Systematic assessment of culture review as a tool to
assess errors in the clinical microbiology laboratory … Systematic assessment of culture review as a tool to assess
errors in the clinical microbiology laboratory … psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-
laboratory … The authors suggest that careful review of such reports could prevent clinical
laboratory errors. … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
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psnet.ahrq.gov/node/39443/psn-pdf
March 23, 2011 - Real-time clinical alerting: effect of an automated paging
system on response time to critical laboratory … Real-time clinical alerting: effect of an automated paging system
on response time to critical laboratory … psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-
critical-laboratory … Reporting critical laboratory results directly to physicians' pagers resulted in more rapid corrective … psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - The Clinical Laboratory Improvement Amendments (CLIA) governing U.S. laboratory practice require that … laboratory results or panic values. … A survey of 623 laboratories in the United States revealed that, for inpatients, laboratory personnel … Michael Astion, MD, PhD Associate Professor Director, Reference Laboratory Services Department of Laboratory … November 3, 2015
A 2-year study of patient safety competency assessment in 29 clinical laboratories
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psnet.ahrq.gov/node/37528/psn-pdf
February 13, 2008 - Computer-assisted bar-coding system significantly
reduces clinical laboratory specimen identification … Computer-assisted bar-coding system significantly reduces
clinical laboratory specimen identification … https://psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory … This study implemented a bar-coding system for laboratory
specimen identification, with careful attention … to integrating the new system within existing laboratory
workflow.
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - The Clinical Laboratory Improvement Amendments (CLIA) governing U.S. laboratory practice
require that … laboratory results or panic values. … A survey of 623 laboratories
in the United States revealed that, for inpatients, laboratory personnel … Michael Astion, MD, PhD Associate Professor Director, Reference Laboratory Services Department of
Laboratory … How promptly are inpatients treated for critical laboratory results?
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - He came to learn that a fax of the laboratory results had been sent to the clinic on
Saturday with the … results.(8) Physicians also believe that
inadequate follow-up of laboratory results harms patients. … Workflow changes should: (i) ensure that all
laboratory tests include the correct ordering provider; … Inadequate laboratory test result follow-up is a system problem requiring a system solution. … Missed hypothyroidism diagnosis uncovered by linking laboratory
and pharmacy data.
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - This study reports on the development of standards for laboratory monitoring of high-risk medications … 22, 2018
Impact of health information technology interventions to improve medication laboratory … June 5, 2018
Academic detailing to improve laboratory testing among outpatient medication … 19, 2011
Impact of health information technology interventions to improve medication laboratory … Ambulatory Care
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - after performance of a root cause analysis , reduced specimen identification errors in a pathology laboratory … April 12, 2011
Decreasing mislabeled laboratory specimens using barcode technology and … February 2, 2011
Error tracking in a clinical biochemistry laboratory. … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories … The Topic
Health Care Providers
Health Care Executives and Administrators
Pathology and Laboratory
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings. … Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. … https://psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings … This AHRQ–funded study retrospectively examined the failure rate of recommended laboratory surveillance … The authors conclude that the prevalence of
inadequate laboratory monitoring should stimulate further
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection … System hazards in managing laboratory test requests and results in
primary care: medical protection … https://psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care … -
medical-protection
This retrospective study of abnormal laboratory test orders and results in primary … The authors describe a conceptual model to comprehensively
address the safety of laboratory testing