-
psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - One of the projects that we did with AHRQ was developing and strengthening a patient safety laboratory … patient and clinician (1) had a shared decision about getting a test, (2) getting the blood test, (3) the laboratory … doing the test, (4) the laboratory reporting the test result back to the practice, (5) the result reported … events; inadequate communication, including problems with care transitions or reporting and follow-up of laboratory
-
psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - her potential causes for thrombocytopenia ( Figure 1 )—may facilitate assignment of a diagnosis.( 4 ) Laboratory … Heparin-induced thrombocytopenia and thrombosis: clinical and laboratory studies.
-
psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - overestimates the kidney function of Black patients compared
to patients of other races with the same laboratory … A study
on laboratory and pharmacy data found that safety reporting did not identify issues in populations
-
psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Second, routine laboratory testing, including urine toxicology, is not indicated in a
patient presenting … variation (15) and increased health care costs without improved medical outcomes.(16) Third, targeted
laboratory
-
psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - No laboratory values were checked, and there were no urgent interventions. … Laboratory results were reviewed at 6:00 AM and showed her hemoglobin had dropped to 5.8 g/dL, and her
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - Laboratory results were notable for an elevated troponin of 0.2 µg/L and an elevated creatinine of 1.9
-
psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - about relevant medical conditions, concurrent
medications, potential drug interactions, and pertinent laboratory
-
psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Overview of Patient Safety Learning Laboratory (PSLL) Projects.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - that were recently stopped and may cause withdrawal syndrome (opioids, antidepressants, alcohol)
Basic laboratory
-
psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - Copyright © 2008 Cognitive Technologies Laboratory. Reprinted with permission.
-
psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - they may be more
susceptible when tasks are rote or rely primarily on vigilance (such as reviewing laboratory
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - medication prescriptions
Inaccurate patient evaluations
Longer length of stays
Increased use of laboratory
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - inform anesthesiologist doing nasal intubation that patient is anticoagulated
Delayed transmission
Laboratory
-
psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - A review of that day's laboratory data revealed
that the patient had developed severe hypernatremia
-
psnet.ahrq.gov/primer/never-events
June 15, 2024 - biological specimen Patient death or serious injury resulting from failure to follow up or communicate laboratory
-
psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - For example, they frequently checked routine
blood laboratories (e.g., blood gases, electrolytes, nutritional
-
psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - asks health care organizations to get involved in terms of facilitating communication and making sure laboratory … For example, the report includes very little about what laboratories could do or what radiology could … individual clinicians but also patients, health care delivery systems, and diagnostic services such as laboratory
-
psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - The laboratory workup starts with surveillance of all body systems, as chronic dysfunction of almost
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - Non-obstetric Causes
After a history, physical examination, pregnancy test, and ultrasound, certain laboratory
-
psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Numerous errors can occur in the context of John
Does and patients can become disassociated from laboratory