-
psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - The initial electrocardiogram revealed sinus tachycardia at 156 bpm
and initial laboratory test results … However, because of a delay in reporting, by the time the medical team saw the laboratory test
results … infarction) was
called, but the clinicians chose to delay taking the patient to the cardiac catheterization laboratory … values or vital signs, may eliminate the reliance on busy clinicians to
repeatedly check for laboratory … improved so that their approach to cases like the one above
is standardized: abnormal vital signs and laboratory
-
psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Per hospital protocol, the microbiology
laboratory called the nursing unit to report the positive culture … At this facility, physicians view laboratory results in a scrolling text–based computer system,
which … While the procedures involved in reporting clinical
microbiology laboratory results can create opportunities … empiric antibiotics associated with bacteremia.(8)
In this case, the initial clinical microbiology laboratory … Standard procedure calls for a clinical
microbiology laboratory to provide an early report identifying
-
psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - The initial electrocardiogram revealed sinus tachycardia at 156 bpm and initial laboratory test results … However, because of a delay in reporting, by the time the medical team saw the laboratory test results … infarction) was called, but the clinicians chose to delay taking the patient to the cardiac catheterization laboratory … values or vital signs, may eliminate the reliance on busy clinicians to repeatedly check for laboratory … improved so that their approach to cases like the one above is standardized: abnormal vital signs and laboratory
-
psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - can also be idiopathic in nature. 5 All patients will have a heavy stool load at presentation. 1 Laboratory … Other than her presenting symptoms, the patient’s laboratory work demonstrated significant bandemia, … Given the history, physical examination, and laboratory findings described above, a prudent ED physician … of a normal white blood cell count can certainly be missed, as bands may not be part of the routine laboratory … Any unexpected findings, such absent fecal output or laboratory abnormalities in the ED, warrant further
-
psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - The nephrologist briefly reviewed the laboratory results and asked the intensivist to administer hypertonic … The repeat laboratory results showed
that the sodium had risen to 130 mEq/dL, a rapid increase that … For symptomatic hyponatremia, this order set would include laboratory
assessment of serum sodium at … psnet.ahrq.gov//#8
https://psnet.ahrq.gov//#9
https://psnet.ahrq.gov//#10
treatment, and frequency of laboratory … sets specifying dose, route of
administration, clearly defined start and end points, and specific laboratory
-
psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories … March 15, 2017
Opportunities to enhance laboratory professionals' role on the diagnostic … More
See More About The Topic
Hospitals
Health Care Providers
Pathology and Laboratory
-
psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - increasing rapidly and will
continue to do so worldwide.(2) In accordance with the United States Clinical Laboratory … assessment (Figure 1).(5-7) Due to
the advent of patient and reagent barcoding, automated processes within laboratories … Good laboratory practices for waived
testing sites: survey findings from testing sites holding a certificate … of waiver under the Clinical Laboratory
Improvement Amendments of 1988 and recommendations for promoting … Does POCT reduce the risk of error in laboratory testing? Clin Chim Acta. 2009;404:59-64.
-
psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - ( Figure 1 ).( 5-7 ) Due to the advent of patient and reagent barcoding, automated processes within laboratories … Professor University of California, Davis Sharon Ehrmeyer, PhD Professor Emeritus, Pathology and Laboratory … Good laboratory practices for waived testing sites: survey findings from testing sites holding a certificate … of waiver under the Clinical Laboratory Improvement Amendments of 1988 and recommendations for promoting … Does POCT reduce the risk of error in laboratory testing? Clin Chim Acta. 2009;404:59-64.
-
psnet.ahrq.gov/node/45900/psn-pdf
June 07, 2017 - blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-
study-41333-blood-bank
The rate of mislabeled blood samples in hospital laboratories … patient-identification-and-tube-labelling-call-harmonisation
https://psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
-
psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - Hemolysis Holdup
May 1, 2017
Towards a new paradigm in laboratory … More About The Topic
Hospitals
Health Care Providers
Medical Oncology
Pathology and Laboratory
-
psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - January 18, 2013
Medical errors arising from outsourcing laboratory and radiology services … January 31, 2006
Classifying laboratory incident reports to identify problems that jeopardize
-
psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - July 29, 2020
Impact of interactions between drugs and laboratory test results on diagnostic … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.
-
psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
January 12, 2022 - January 23, 2019
Impact of interactions between drugs and laboratory test results on … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.
-
psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - November 2, 2022
Evaluating a patient safety learning laboratory to create an interdisciplinary … November 16, 2011
Direct reporting of laboratory test results to patients by mail to
-
psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Allergy
June 1, 2019
The effect of a clinical decision support for pending laboratory … January 25, 2016
Emergency physicians' views of direct notification of laboratory and
-
psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
April 29, 2020 - April 10, 2013
Medical errors arising from outsourcing laboratory and radiology services … View More
See More About The Topic
Physicians
Risk Managers
Pathology and Laboratory
-
psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - November 17, 2011
Impact of interactions between drugs and laboratory test results on … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.
-
psnet.ahrq.gov/issue/barcode-technology-its-role-increasing-safety-blood-transfusion
September 08, 2021 - October 27, 2010
Patient misidentification in laboratory medicine: a qualitative analysis … More About The Topic
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
-
psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
December 02, 2020 - 18, 2011
Impact of health information technology interventions to improve medication laboratory … Providers
Quality and Safety Professionals
Information Professionals
Diagnostic Errors
Laboratory
-
psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - September 6, 2017
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory … Health Care Providers
Risk Managers
Quality and Safety Professionals
Pathology and Laboratory