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Total Results: 2,418 records

Showing results for "laboratory".

201. Patient safety and quality care. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-quality-care
     April 01, 2020 - A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory … January 15, 2017 When diagnostic testing leads to harm: a new outcomes-based approach for laboratory … June 1, 2012 Voluntary electronic reporting of laboratory errors: an analysis of 37,532 … laboratory event reports from 30 health care organizations. … Topic Hospitals Health Care Providers Quality and Safety Professionals Pathology and Laboratory

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865412/psn-pdf
     March 27, 2024 - Similarly, several laboratory studies are routinely performed in this setting, as vitamin deficiencies … Laboratory Studies for First Episode Psychotic Illness9-14 Urine drug screen Basic metabolic panel … The combination of a psychotic presentation with positive SLE-specific laboratory results is enough to … It is unclear why obviously abnormal laboratory studies were not acted upon to effectuate the needed … Failure to follow-up on abnormal laboratory results is not an uncommon system or process error and can

203. The value of inking breast cores to reduce specimen mix-up. | PSNet
     psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
     January 14, 2011 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … September 1, 2012 Voluntary electronic reporting of laboratory errors: an analysis of … 37,532 laboratory event reports from 30 health care organizations. … August 26, 2011 Decreasing mislabeled laboratory specimens using barcode technology and … February 2, 2011 Patient safety in the clinical laboratory: a longitudinal analysis of

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35944/psn-pdf
     August 02, 2010 - Analysis of laboratory critical value reporting at a large academic medical center. … Analysis of laboratory critical value reporting at a large academic medical center. … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36189/psn-pdf
     February 15, 2010 - Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study … Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study … https://psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american- … pathologists-q-probes The investigators analyzed information on misidentified laboratory specimens … https://psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40999/psn-pdf
     January 01, 2012 - Improving patient safety via automated laboratory-based adverse event grading. … Improving patient safety via automated laboratory-based adverse event grading. … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading

207. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
     psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
     February 21, 2020 - Most of these tests had to be sent to an external laboratory and the results returned intermittently … The laboratory finding that established this diagnosis was available in the electronic health record … However, for less common studies that must be sent to an off-site laboratory (like some of the antibody … Interestingly, in the study of EHR-generated alerts for abnormal laboratory results mentioned above, … Though the laboratory results were not yet available at the time of transfer, that handoff should have

208. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet
     psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
     April 23, 2014 - and effect analysis methodology, this study sought to prospectively identify safety hazards in the laboratory … September 29, 2017 Impact of non-interruptive medication laboratory monitoring alerts … September 1, 2016 Laboratory test ordering and results management systems: a qualitative … 31, 2011 A randomized trial of electronic clinical reminders to improve medication laboratory

209. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet
     psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
     July 16, 2013 - strategies were applied to improve workflow and reduce misidentification errors in a surgical pathology laboratory … April 12, 2011 Decreasing mislabeled laboratory specimens using barcode technology and … May 20, 2009 Computer-assisted bar-coding system significantly reduces clinical laboratory … General Hospitals Health Care Providers Quality and Safety Professionals Pathology and Laboratory

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41934/psn-pdf
     May 24, 2016 - Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures- laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36134/psn-pdf
     February 24, 2011 - Direct reporting of laboratory test results to patients by mail to enhance patient safety. … Direct reporting of laboratory test results to patients by mail to enhance patient safety. … https://psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety … https://psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35419/psn-pdf
     February 15, 2010 - College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical … ://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and- laboratory-medicine … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73581/psn-pdf
     January 01, 2022 - Based on findings from their Patient Safety Learning Laboratory, the authors used human factors engineering … psnet.ahrq.gov/web-mm/harm-alarm-fatigue https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35644/psn-pdf
     January 18, 2006 - Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory … Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory … comparison-and-interpretation-urinalysis-performed-nephrologist-versus- hospital-based This study demonstrated that laboratory-performed … advocate for either greater training of this expertise among physicians or improved training among laboratory

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44169/psn-pdf
     November 06, 2015 - psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk Reporting on weaknesses in laboratory … diagnosis—and raises concerns about insufficient transparency, investigations, and regulations around laboratory … psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49793/psn-pdf
     May 01, 2017 - laboratories should proactively monitor and report hemolysis rates by clinical service and/or facility … Take-Home Points Hemolysis is the most common reason for blood specimen rejection by clinical laboratories … Director, University Hospital, University Neuropsychiatric Institute South Jordan Health Center Clinical Laboratories … Utility of repeat testing of critical values: a Q-probes analysis of 86 clinical laboratories. … Laboratory Medicine Best Practices.

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43758/psn-pdf
     March 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. … A patient safety checklist for the cardiac catheterisation laboratory. … https://psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory Drawing from … https://psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory https://psnet.ahrq.gov

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37815/psn-pdf
     June 18, 2008 - A 2-year study of patient safety competency assessment in 29 clinical laboratories. … A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. … https://psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories … A web-based questionnaire was used to assess patient safety knowledge among clinical laboratory staff … https://psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories

219. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet
     psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
     April 04, 2011 - However, this study conducted in Veterans Affairs clinics found that 1 in 10 alerts for abnormal laboratory … September 27, 2023 Impact of non-interruptive medication laboratory monitoring alerts … 17, 2011 Impact of health information technology interventions to improve medication laboratory … Health Care Providers Facility and Group Administrators Information Professionals Pathology and Laboratory

220. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet
     psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
     August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory … Lessons learned implementing a complex and innovative patient safety learning laboratory project in a … 2014, the Agency for Healthcare Research and Quality (AHRQ) began funding Patient Safety Learning Laboratories … Lessons learned implementing a complex and innovative patient safety learning laboratory project in a