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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - September 20, 2011
Impact of interactions between drugs and laboratory test results on … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions. … September 19, 2016
Clinical decision support improves the appropriateness of laboratory
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psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room
March 18, 2013 - A laboratory experiment and field study in cardiac rehabilitation. … October 4, 2011
Impact of interactions between drugs and laboratory test results on diagnostic … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.
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psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
February 09, 2011 - January 4, 2012
Direct reporting of laboratory test results to patients by mail to enhance … September 28, 2010
Classifying laboratory incident reports to identify problems that … View More
See More About The Topic
Physicians
Risk Managers
Pathology and Laboratory
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - RIS
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Laboratory … September 26, 2018
System hazards in managing laboratory test requests and results in … April 22, 2015
Laboratory test ordering and results management systems: a qualitative
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psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study
October 14, 2009 - July 5, 2017
Impact of interactions between drugs and laboratory test results on diagnostic … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions. … March 13, 2019
The effect of a clinical decision support for pending laboratory results
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psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general-practitioners
April 06, 2011 - April 12, 2017
System hazards in managing laboratory test requests and results in primary … January 20, 2016
Laboratory test ordering and results management systems: a qualitative … December 29, 2014
Laboratory test ordering and results management systems: a qualitative
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psnet.ahrq.gov/node/34684/psn-pdf
May 27, 2011 - system
featured several decision-support functions, including dose-range checking; display of relevant laboratory … the time of medication ordering; consequent order prompting; and drug-drug, drug-allergy, and
drug-laboratory
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psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - Bar coding has been previously used to
reduce errors in medication administration and in laboratory … medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
https://psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - A specimen obtained via nasopharyngeal swab was sent to a commercial laboratory for reverse
transcriptase … later with a newly developed in-house test and a third sample
was sent to the state public health laboratory … Disease Control
and Prevention (CDC) were distributed in early February 2020, state public health laboratories … Laboratory diagnosis of COVID-19: Current issues
and challenges. … 2019 Tests During the Public
Health Emergency (Revised): Immediately in Effect Guidance for Clinical Laboratories
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psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
December 04, 2019 - July 27, 2016
Medical errors arising from outsourcing laboratory and radiology services … The Topic
Hospitals
Ambulatory Care
Facility and Group Administrators
Pathology and Laboratory
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Without checking the progress notes or the laboratory values for that day, she paged the night float … Our institution uses such a system, in which an electronic laboratory alert is generated for certain … anticoagulation-related laboratory values and directed to a dedicated anticoagulation pharmacist, and … The covering intern should have reviewed the laboratory results prior to ordering the medication. … Mandatory review of laboratory data should be required with warfarin dosing.
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Physical exam, laboratory tests, and repeat computed tomography (CT) scans were all consistent with the … for a more structured approach to error detection and prevention.( 5-10 ) The key steps in pathology laboratory … surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … January 8, 2016
Laboratory medicine handoff gaps experienced by primary care practices … Hemolysis Holdup
May 1, 2017
Towards a new paradigm in laboratory
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - workup performed in the
emergency department (ED), blood cultures and stool studies were sent to the laboratory … A later review revealed that the hospital microbiology laboratory was aware of the microbiology result … was appropriate as nurses
are considered suitable recipients for critical laboratory values.(18) Yet … First, the nurse who received the initial
notification from the microbiology laboratory may not have … Initially, notification from the
microbiology laboratory should go straight to the ordering or attending
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - exam findings associated with spinal
epidural abscess
• Evaluate for spinal epidural abscess with laboratory … Laboratory testing showed only abnormal
transaminases. … Studies, Microbiology and
Imaging
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Laboratory Studies (1)
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– ESR and CRP should be obtained for all patients in whom SEA is
suspected.
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Laboratory … Studies, Microbiology and Imaging
Laboratory Studies (1)
Laboratory Studies (2)
Microbiology (1)
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Improving Safety & Patient Safety Target
The Three Phases of Error in Pathology
As with clinical laboratory … occur in the analytic phase of surgical pathology differ from those in the analytic phase of
clinical laboratory … time for uncomplicated, routine biopsy cases is 48 hours or two working days after
receipt in the laboratory … Hang Mieu Ha, DO
Resident Physician
Department of Pathology and Laboratory Medicine
UC Davis Health … Errors in pathology and laboratory medicine: consequences
and prevention.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - history was notable for a hospitalization two weeks earlier for the same complaints; at that time, her laboratory … Laboratory studies were significant for hyperglycemia (blood sugar level of 387 mg/dL), an elevated serum … Several factors may have contributed to this occurrence including misinterpretation of her laboratory … Handoff periods are often rushed, allowing providers insufficient time to discuss laboratory findings … Take-Home Points
Calculated AG should be integrated into laboratory reports of metabolic panels,
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psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
March 11, 2011 - September 29, 2017
Impact of non-interruptive medication laboratory monitoring alerts … September 1, 2016
Concept and development of a discharge alert filter for abnormal laboratory … 11, 2011
A randomized trial of electronic clinical reminders to improve medication laboratory
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psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
April 09, 2013 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … Communication Slip
February 1, 2012
Medical errors arising from outsourcing laboratory … View More
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Gynecology
Medical Oncology
Pathology and Laboratory
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psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
November 16, 2016 - July 10, 2017
Error disclosure in pathology and laboratory medicine: a review of the … August 31, 2016
Data quality associated with handwritten laboratory test requests: classification … See More About The Topic
Health Care Executives and Administrators
Pathology and Laboratory
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psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and
November 07, 2011 - February 4, 2015
System hazards in managing laboratory test requests and results in primary … January 20, 2016
Laboratory test ordering and results management systems: a qualitative … July 3, 2013
Signal and noise: applying a laboratory trigger tool to identify adverse