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Total Results: 2,418 records

Showing results for "laboratory".

  1. psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
    January 05, 2012 - January 7, 2015 Laboratory test ordering and results management systems: a qualitative … January 18, 2013 Voluntary electronic reporting of laboratory errors: an analysis of … 37,532 laboratory event reports from 30 health care organizations. … January 14, 2011 Classifying laboratory incident reports to identify problems that jeopardize … Hospitals Risk Managers Quality and Safety Professionals Safety Scientists Pathology and Laboratory
  2. psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
    January 08, 2016 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … January 8, 2016 Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories … October 7, 2011 Errors in a stat laboratory: changes in type and frequency since 1996 … September 9, 2011 Patient safety in the clinical laboratory: a longitudinal analysis … July 23, 2008 Computer-assisted bar-coding system significantly reduces clinical laboratory
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - Lewis, MD This case illustrates how the misinterpretation of a common laboratory complication can lead … errors and affecting up to 12% of all samples sent to clinical laboratories, especially in busy clinical … Unwinding the Case Despite the laboratory report of hyperkalemia, the patient presented with several … In non-urgent situations, laboratory testing through the core laboratory should be encouraged over point-of-care … Educational case: hemolysis and lipemia interference with laboratory testing.
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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.
  17. 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
  18. 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
  19. 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
  20. 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

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