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psnet.ahrq.gov/issue/lost-surgical-specimens-lost-opportunities
April 16, 2018 - December 30, 2014
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory … February 15, 2010
Classifying laboratory incident reports to identify problems that jeopardize … Health Care Providers
Risk Managers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/issue/what-if-doctor-wrong
August 17, 2016 - November 6, 2015
Should patients get direct access to their laboratory test results? … December 15, 2011
Computer-assisted bar-coding system significantly reduces clinical laboratory … 13, 2008
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Patients
Pathology and Laboratory
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psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
November 16, 2022 - April 3, 2019
Interventions to improve follow-up of laboratory test results pending at … July 27, 2016
Laboratory medicine handoff gaps experienced by primary care practices: … Topic
Hospitals
Health Care Providers
Facility and Group Administrators
Pathology and Laboratory
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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - February 14, 2024
Impact of interactions between drugs and laboratory test results on … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions. … A laboratory experiment and field study in cardiac rehabilitation.
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psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
February 02, 2022 - October 9, 2013
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory … September 18, 2013
Quality indicators to detect pre-analytical errors in laboratory testing … More
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Hospitals
Health Care Providers
Pathology and Laboratory
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psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
September 22, 2021 - September 22, 2021
Interventions to improve follow-up of laboratory test results pending … 9, 2011
Impact of health information technology interventions to improve medication laboratory … Hospitals
Health Care Providers
Health Care Executives and Administrators
Pathology and Laboratory
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - Pathologic Mistake
March 1, 2013
Direct reporting of laboratory … Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory … View More
See More About The Topic
Hospitals
Ambulatory Care
Pathology and Laboratory
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psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
August 04, 2021 - This commentary suggests strategies for improving prescribing safety, including linking pharmacy and laboratory … Providers
Quality and Safety Professionals
Information Professionals
Geriatrics
Pathology and Laboratory
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psnet.ahrq.gov/node/60987/psn-pdf
October 07, 2020 - analysis identified several process failures, most commonly involving the testing or
processing of laboratory … barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
https://psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - She was treated with opioids for mild ongoing pain, and no additional ECGs or
laboratory tests were … 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
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/diagnostic-error-medicine
October 22, 2013 - April 4, 2018
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory … November 27, 2013
Real-time automated paging and decision support for critical laboratory … Educators
Diagnostic Errors
Missed or Critical Lab Results
Cognitive Errors ("Mistakes")
Laboratory
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - Appreciate the limited role for preoperative laboratory testing. … Laboratory tests sent for a voluntary medical research study showed an elevated alkaline phosphatase … Laboratory testing plays a limited role in risk stratification. … The case against routine preoperative laboratory testing. Med Clin North Am. 2003;87:7-40. … The case against routine preoperative laboratory testing.
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psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
June 21, 2016 - November 1, 2017
Laboratory medicine handoff gaps experienced by primary care practices … December 3, 2014
Laboratory test ordering and results management systems: a qualitative … March 28, 2012
Medical errors arising from outsourcing laboratory and radiology services … Ambulatory Care
Health Care Providers
Primary Care
Medical Oncology
Pathology and Laboratory
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - 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 … The Topic
Health Care Providers
Health Care Executives and Administrators
Pathology and Laboratory
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psnet.ahrq.gov/node/43720/psn-pdf
November 26, 2014 - The potential causes
of the mistake include laboratory sample confusion and misinterpretation of biopsy … psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
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psnet.ahrq.gov/node/43069/psn-pdf
April 16, 2014 - decimal-numbers-and-safe-interpretation-clinical-pathology-results
According to this study, although most clinicians and medical laboratory … decimal-numbers-and-safe-interpretation-clinical-pathology-results
https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … July 26, 2011
Direct reporting of laboratory test results to patients by mail to enhance … February 24, 2011
Identification errors involving clinical laboratories: a College of … Physicians
Risk Managers
Quality and Safety Professionals
Medical Oncology
Pathology and Laboratory
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - January 7, 2011
Patient safety in the clinical laboratory: a longitudinal analysis of … December 22, 2010
Identification errors involving clinical laboratories: a College of … See More About The Topic
Facility and Group Administrators
Risk Managers
Pathology and Laboratory
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psnet.ahrq.gov/node/38416/psn-pdf
February 18, 2009 - preanalytical-errors-primary-healthcare-questionnaire-study-information-
search-procedures
Most errors in laboratory … medicine occur in the preanalytical phase, that is, before the sample reaches the
laboratory.
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psnet.ahrq.gov/node/33948/psn-pdf
December 18, 2008 - Patient safety laboratories: states pave the way for a
national effort. … https://psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
States can … https://psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort