-
psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
August 17, 2016 - This article reports on a laboratory mix-up resulting in misdiagnosis and unneeded surgery and discusses … the problem of laboratory errors.
-
psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - May 26, 2021
Prevalence and predictability of low-yield inpatient laboratory diagnostic … January 23, 2019
System-related and cognitive errors in laboratory medicine. … December 31, 2014
Laboratory medicine handoff gaps experienced by primary care practices … 3, 2014
Causes, consequences, detection, and prevention of identification errors in laboratory … See More About The Topic
Hospitals
Physicians
Information Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
September 04, 2024 - September 6, 2017
Towards a new paradigm in laboratory medicine: the five rights. … May 27, 2011
Direct reporting of laboratory test results to patients by mail to enhance … The Topic
Hospitals
Health Care Providers
Organizational Behaviorists
Pathology and Laboratory
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - She reviewed the laboratory results and found that the patient had an undetectable thyroid-stimulating … These laboratory tests had been ordered in the ED. … It is a basic premise in medicine that laboratory tests should be ordered as part of a Bayesian reasoning … In addition, laboratory phone calls to the attending physician for markedly abnormal tests would likely … Hormone tests, in general, have a longer turnaround time than routine laboratory tests that may contribute
-
psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - 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.
-
psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
November 20, 2015 - The vast majority of respondents did not have systems in place to ensure that laboratory results were … June 14, 2017
System hazards in managing laboratory test requests and results in primary … October 1, 2014
Laboratory test ordering and results management systems: a qualitative
-
psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Laboratory tests are an integral part of diagnosing illness and injury, but system issues can result … mislabeled specimens
February 26, 2020
Impact of non-interruptive medication laboratory … About The Topic
Ambulatory Clinic or Office
Family Medicine
Primary Care
Pathology and Laboratory
-
psnet.ahrq.gov/node/61126/psn-pdf
November 11, 2020 - for false positive results with antigen tests for
rapid detection of SARS-CoV-2--letter to clinical
laboratory … why-false-positives-merit-concern-too
https://psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
-
psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - July 27, 2016
Laboratory medicine handoff gaps experienced by primary care practices: … December 3, 2014
Decoding laboratory test names: a major challenge to appropriate patient … See More About The Topic
Health Care Providers
Information Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/node/46232/psn-pdf
February 10, 2018 - Electronic health record downtime led to issues with laboratory testing including specimen identification … primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process … https://psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
-
psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … September 29, 2010
Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories … September 1, 2012
Medical errors arising from outsourcing laboratory and radiology services … July 23, 2008
Classifying laboratory incident reports to identify problems that jeopardize … Topic
Clinical Technologists
Physicians
Quality and Safety Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/issue/syndromic-surveillance-health-information-system-failures-feasibility-study
November 03, 2015 - December 19, 2018
Emergency physicians' views of direct notification of laboratory and … December 31, 2014
Decoding laboratory test names: a major challenge to appropriate patient … November 26, 2014
Laboratory test ordering and results management systems: a qualitative … Quality and Safety Professionals
Information Professionals
Safety Scientists
Pathology and Laboratory
-
psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
January 14, 2011 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … April 10, 2013
Medical errors arising from outsourcing laboratory and radiology services … October 7, 2011
Errors in a stat laboratory: changes in type and frequency since 1996 … Topic
Clinical Technologists
Physicians
Quality and Safety Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety
February 15, 2010 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … November 19, 2014
Laboratory results that should be ignored. … More About The Topic
Hospitals
Health Care Executives and Administrators
Pathology and Laboratory
-
psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error
May 05, 2021 - May 5, 2021
Diagnostic stewardship—leveraging the laboratory to improve antimicrobial … September 1, 2012
Direct reporting of laboratory test results to patients by mail to … See More About The Topic
Hospitals
Quality and Safety Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/node/47515/psn-pdf
February 25, 2019 - psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot … https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot
https://psnet.ahrq.gov
-
psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - results, prior VA studies have shown that a small but clinically significant proportion of abnormal laboratory … December 30, 2014
Laboratory test ordering and results management systems: a qualitative … April 14, 2011
Direct reporting of laboratory test results to patients by mail to enhance
-
psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
August 20, 2018 - December 27, 2014
Decoding laboratory test names: a major challenge to appropriate patient … November 26, 2014
Medical errors arising from outsourcing laboratory and radiology services … February 15, 2010
Classifying laboratory incident reports to identify problems that jeopardize … Technologists
Health Care Executives and Administrators
Information Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
September 02, 2009 - indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory … February 25, 2015
Improving Patient Safety in Laboratory Medicine. … October 10, 2012
Quality indicators to detect pre-analytical errors in laboratory testing … The Topic
Health Care Providers
Health Care Executives and Administrators
Pathology and Laboratory
-
psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - March 13, 2019
The effect of a clinical decision support for pending laboratory results … December 27, 2014
Medical errors arising from outsourcing laboratory and radiology services … October 7, 2011
Patient safety in the clinical laboratory: a longitudinal analysis of … February 15, 2010
Classifying laboratory incident reports to identify problems that jeopardize