Results

Total Results: 2,418 records

Showing results for "laboratory".

261. Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. | PSNet
     psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
     September 05, 2012 - Report Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory … Citation Text: Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory … Citation Citation Text: Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory

262. Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California, 2020. | PSNet
     psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility
     November 16, 2022 - Commentary Universal and serial laboratory testing for SARS-CoV-2 at a long-term … Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for … Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for

263. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
     January 01, 2024 - Laboratory tests were notable for hyponatremia to 126 mEq/L, hyperkalemia to 5.9 mEq/L, elevated creatinine … errors and affecting up to 12% of all samples sent to clinical laboratories, especially in busy clinical … In non-urgent situations, laboratory testing through the core laboratory should be encouraged over point-of-care … Alternatively, the clinical laboratory may withhold reporting of lab results affected by hemolysis. … Educational case: hemolysis and lipemia interference with laboratory testing.

264. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - The highest rates of failure are associated with processes outside of the clinical laboratory. 7 The … service is one of the most highly regulated services within the clinical laboratory. … The College of American Pathologists also sets standards for accreditation of clinical laboratories in … Clinical laboratory improvement amendments (CLIA). [ Free full text ] U.S. … Laboratory accreditation program.

265. Preventable Rash | PSNet
     psnet.ahrq.gov/web-mm/preventable-rash
     October 01, 2012 - At a routine visit, screening laboratories were checked. … He recommended laboratory accountability for reporting critical laboratory results to providers and suggested … Individual clinicians and laboratories need to be diligent about reporting diseases that are reportable … Local health departments should provide laboratories and clinicians with reporting feedback through reports … Statewide system of electronic notifiable disease reporting from clinical laboratories: comparing automated

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47806/psn-pdf
     January 01, 2021 - This commentary discusses the Agency for Healthcare Research and Quality patient safety learning laboratories … best-care-lower-cost-path-continuously-learning-health-care-america https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects

267. Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey. | PSNet
     psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
     March 23, 2012 - Study Emergency physicians' views of direct notification of laboratory and radiology … Emergency physicians' views of direct notification of laboratory and radiology results to patients using … Emergency physicians' views of direct notification of laboratory and radiology results to patients using … June 19, 2019 The effect of a clinical decision support for pending laboratory results

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45695/psn-pdf
     December 14, 2016 - /issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after- implementation Laboratory … significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation https://psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics … ://psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45355/psn-pdf
     September 28, 2016 - getting-it-right-patient-safety-specimen-collection-process-improvement- operating-room Mistakes in laboratory … ://psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory … https://psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38436/psn-pdf
     February 25, 2009 - identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories … this strategy addresses an important National Patient Safety Goal and may also be applicable to other laboratory … /value-inking-breast-cores-reduce-specimen-mix https://psnet.ahrq.gov/issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors

271. Computerized triggers of big data to detect delays in follow-up of chest imaging results. | PSNet
     psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
     March 19, 2018 - July 1, 2017 Impact of non-interruptive medication laboratory monitoring alerts in ambulatory … January 7, 2015 Laboratory medicine handoff gaps experienced by primary care practices … December 3, 2014 Decoding laboratory test names: a major challenge to appropriate patient … November 26, 2014 Concept and development of a discharge alert filter for abnormal laboratory … Hospitals Quality and Safety Professionals Information Professionals Pathology and Laboratory

272. Focusing on Medical Errors. | PSNet
     psnet.ahrq.gov/issue/focusing-medical-errors
     May 29, 2019 - medical error from a variety of perspectives, including pediatrics, anesthesiology, pharmacy, pathology, laboratory … See More About The Topic Physicians Pharmacists Anesthesiology Pathology and Laboratory

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866651/psn-pdf
     September 04, 2024 - ://psnet.ahrq.gov/issue/diagnostic-stewardship-model-improve-quality-and-safety-diagnosis Clinical laboratory … diagnostic-stewardship-model-improve-quality-and-safety-diagnosis https://psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50929/psn-pdf
     February 26, 2020 - Follow-up laboratory tests were either never obtained or were not available for review during these … In the first case, laboratory monitoring was correctly ordered at discharge but never completed at the … 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, and it must be clear … Laboratory monitoring is recommended in the OPAT guidelines and at minimum should be performed once

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844550/psn-pdf
     September 01, 2012 - Using Lean quality improvement program (LQIP), including culture change, one anatomic pathology laboratory … The laboratory was able to decrease the frequency of process-dependent near-miss events, though not … effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen https://psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis

276. Electronic detection of delayed test result follow-up in patients with hypothyroidism. | PSNet
     psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
     September 27, 2017 - study, investigators found that an automated trigger successfully identified delayed follow-up of laboratory … 16, 2014 Impact of health information technology interventions to improve medication laboratory … Topic Ambulatory Care Health Care Providers Information Professionals Pathology and Laboratory

277. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
     February 18, 2009 - Laboratory technicians reported very low usage of incident reporting systems, primarily due to lack … Improving Diagnostic Safety and Quality April 26, 2023 Laboratory … April 4, 2012 Academic detailing to improve laboratory testing among outpatient medication

278. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - She was treated with opioids for mild ongoing pain, and no additional ECGs or laboratory tests were ordered … The next morning, the patient's laboratory test results were notable for an elevated troponin level, … She was rushed to the cardiac catheterization laboratory for emergency percutaneous coronary intervention … Code STEMI is designed to achieve timely activation of the cardiac catheterization laboratory.( 4 ) The … This means that personnel must respond, set up the laboratory, receive and prepare the patient, perform

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38208/psn-pdf
     November 12, 2008 - Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. … Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. … https://psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories Laboratories … https://psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - errare-humanum-est-frequency-laterality-errors-radiology-reports Errors that occur in clinical settings away from the bedside have been described in pathology, laboratory … clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety https