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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
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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
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - about relevant medical conditions, concurrent
medications, potential drug interactions, and pertinent laboratory
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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
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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
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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - Copyright © 2008 Cognitive Technologies Laboratory. Reprinted with permission.
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Overview of Patient Safety Learning Laboratory (PSLL) Projects.
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - For example, they frequently checked routine
blood laboratories (e.g., blood gases, electrolytes, nutritional
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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
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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
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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
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Finally, the order entry system may be tailored to screen the patient's laboratory
values (serum potassium
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - It's no accident that some early
adopters of Lean in hospitals were clinical laboratories, where there … There are opportunities to use Lean principles in rearranging the laboratory equipment to reduce
turnaround
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Laboratory tests showed markedly elevated lactic acid (6.3), leukopenia and
thrombocytopenia. … intervene until the SIRS alert, and even then, the physicians were skeptical of the
both the alert and the laboratory