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Total Results: 2,415 records

Showing results for "laboratory".

221. 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

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43939/psn-pdf
     February 25, 2015 - indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory … indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory … single neonatal unit, point-of-care testing resulted in many more quality errors compared to central laboratory … point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection https://psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen

223. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
     September 27, 2023 - Similarly, several laboratory studies are routinely performed in this setting, as vitamin deficiencies … Other laboratory studies can be ordered secondarily, depending on the clinical context of presentation … 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 … If a critical laboratory result has not been reviewed within a certain time period, automatic prompts

224. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet
     psnet.ahrq.gov/issue/determination-unnecessary-blood-transfusion-comprehensive-15-hospital-record-review
     October 27, 2021 - researchers identified high rates of unnecessary blood transfusions, primarily attributed to overreliance on laboratory … April 12, 2011 Patient misidentification in laboratory medicine: a qualitative analysis … View More See More About The Topic Hospitals Medicine Pathology and Laboratory

225. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. | PSNet
     psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
     April 27, 2022 - This article outlines the laboratory service’s processes during the shutdown, including patient safety … May 26, 2021 Prevalence and predictability of low-yield inpatient laboratory diagnostic … About The Topic Hospitals Information Professionals Hospital Medicine Pathology and Laboratory

226. Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
     March 12, 2025 - June 21, 2023 Interventions to improve follow-up of laboratory test results pending at … Opportunity Lost March 1, 2015 Patient identification errors: the detective in the laboratory … 22, 2014 Impact of health information technology interventions to improve medication laboratory … About The Topic Hospitals Health Care Providers Information Professionals Pathology and Laboratory

227. Assigning responsibility to close the loop on radiology test results. | PSNet
     psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
     April 03, 2024 - April 3, 2019 Diagnostic stewardship—leveraging the laboratory to improve antimicrobial … September 30, 2011 Decreasing mislabeled laboratory specimens using barcode technology … 2, 2011 Impact of health information technology interventions to improve medication laboratory … More See More About The Topic Hospitals Health Care Providers Pathology and Laboratory

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73336/psn-pdf
     May 26, 2021 - Cerebrospinal fluid from a lumbar puncture had a negative Venereal Disease Research Laboratory (VDRL … Laboratory results included a non-reactive RPR, reactive TPPA, and Treponema pallidum Immunoglobulin … (VDRL) test, was the first test performed.13 However, in the past decade, most laboratories have shifted … However, he was not notified of his own laboratory test results, which were—presumably—abnormal. … Syphilis testing algorithms using treponemal tests for initial screening--four laboratories, New York

229. Patient safety laboratories: states pave the way for a national effort. | PSNet
     psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
     April 03, 2005 - Newspaper/Magazine Article Patient safety laboratories: states pave the way for a … Citation Text: Patient safety laboratories: states pave the way for a national effort. … Copy URL Cite Citation Citation Text: Patient safety laboratories

230. The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet
     psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
     April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at … The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge … The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge … March 13, 2019 Emergency physicians' views of direct notification of laboratory and radiology

231. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet
     psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
     August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially … Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse … Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse … September 1, 2016 Impact of non-interruptive medication laboratory monitoring alerts

232. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. | PSNet
     psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
     May 10, 2023 - adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory … adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory … adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory

233. Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. | PSNet
     psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
     April 08, 2020 - for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory … for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory … for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory

234. Disclosing harmful pathology errors to patients. | PSNet
     psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
     May 18, 2022 - May 18, 2022 Communicating pathology and laboratory errors: anatomic pathologists' and … laboratory medical directors' attitudes and experiences. … November 28, 2016 Error disclosure in pathology and laboratory medicine: a review of … See More About The Topic Health Care Providers Organizational Behaviorists Pathology and Laboratory

235. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
     psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
     November 16, 2022 - The routine laboratory tests done that day revealed only a normocytic anemia. … His physical examination and laboratory test results were unremarkable. … Because approximately half of all positive blood cultures in most institutions represent contamination, laboratories … Wayne, PA: Clinical and Laboratory Standards Institute; 2007. ISBN: 1562386417. 12. … Laboratory and epidemiologic observations.

236. Directed peer review in surgical pathology. | PSNet
     psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
     December 03, 2014 - Peer review, or second opinion, is used by many laboratories to improve diagnostic accuracy and precision … RIS Download Citation Related Resources From the Same Author(s) Laboratory … April 16, 2014 Direct reporting of laboratory test results to patients by mail to enhance … February 15, 2010 Error tracking in a clinical biochemistry laboratory. … More See More About The Topic Quality and Safety Professionals Pathology and Laboratory

237. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. | PSNet
     psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
     April 13, 2022 - Study Anatomy of a failure: a sociotechnical evaluation of a laboratory physician … Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation … Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation

238. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
     January 01, 2020 - recommendation for a follow-up appointment at the Infectious Diseases clinic, and although follow-up laboratory … The post discharge follow-up laboratory tests that had been ordered were not available in the medical … monitoring based on choice of IV antibiotic and duration of therapy • A minimum of once weekly laboratory … The physician assesses laboratory tests and follows patients in clinic during the course of treatment … – Appropriate IV access must be established, laboratory monitoring must be ordered – It must be clear

239. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
     August 01, 2012 - He came to learn that a fax of the laboratory results had been sent to the clinic on Saturday with the … Missed hypothyroidism diagnosis uncovered by linking laboratory and pharmacy data. … tests have been completed Highlighting laboratory test results that require urgent attention Presenting … test results is fairly common and can lead to patient harm Barriers to effective management of laboratory … test results are time pressures and cognitive overload on clinicians Inadequate laboratory test result

240. Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. | PSNet
     psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
     November 16, 2022 - The rate of mislabeled blood samples in hospital laboratories did not improve significantly between … View More Related Resources Interventions to improve follow-up of laboratory … September 12, 2018 Diagnostic stewardship—leveraging the laboratory to improve antimicrobial … February 27, 2013 Medical errors arising from outsourcing laboratory and radiology services … More See More About The Topic Hospitals Health Care Providers Pathology and Laboratory