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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Using two case examples, this article analyzes the causes and consequences of laboratory testing errors … Related Resources From the Same Author(s)
Identification errors in pathology and laboratory … December 18, 2008
Identification errors involving clinical laboratories: a College of … test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories … March 13, 2019
Error tracking in a clinical biochemistry laboratory.
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - Study
Analysis of laboratory critical value reporting at a large academic medical … Analysis of laboratory critical value reporting at a large academic medical center. … Analysis of laboratory critical value reporting at a large academic medical center. … February 27, 2013
Medical errors arising from outsourcing laboratory and radiology services … March 23, 2011
Direct reporting of laboratory test results to patients by mail to enhance
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psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
May 25, 2022 - This study explored whether RFID technology can improve process measures in laboratory settings, such … March 13, 2019
Reduction in hospital-wide clinical laboratory specimen identification … October 27, 2016
Impact of non-interruptive medication laboratory monitoring alerts in … April 14, 2011
Computer-assisted bar-coding system significantly reduces clinical laboratory … Office
Quality and Safety Professionals
Information Professionals
Dermatology
Pathology and Laboratory
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Since hemolyzed specimens can put both clinicians and laboratory personnel in a difficult position, laboratories … Take-Home Points Hemolysis is the most common reason for blood specimen rejection by clinical laboratories … Director, University Hospital, University Neuropsychiatric Institute South Jordan Health Center Clinical Laboratories … Utility of repeat testing of critical values: a Q-probes analysis of 86 clinical laboratories. … Laboratory Medicine Best Practices.
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psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
November 12, 2008 - test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories … test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories … Errors in ordering send-out tests (tests performed at specialized regional laboratories) were common, … November 3, 2015
Laboratory medicine handoff gaps experienced by primary care practices … December 15, 2011
Direct reporting of laboratory test results to patients by mail to
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - In our laboratory, as in the laboratory described in the vignette, specimens are held for a
standard … Moreover, many laboratories
hold their trash for 24–72 hours in case specimens are accidentally discarded … Errors in laboratory medicine: practical lessons to improve patient safety. … Errors in the Laboratory. Patient Safety Solutions. [Available at]
6. … Medical Laboratory Observer. September 2007.
Table
Table.
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - the morning of surgery, the patient was awakened by the phlebotomist who drew his blood for basic
laboratories … or inside
the laboratory.(1) Laboratory service errors are often classified as preanalytic, analytic … These voluntary programs involving
laboratories across the United States and several foreign countries … Identification errors involving clinical laboratories: a College of
American Pathologists Q-Probes study … A Representative Taxonomy of Laboratory Errors in Use by a Number of Laboratories with
Minor Modifications
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psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - Towards a new paradigm in laboratory medicine: the five
rights.
December 21, 2016
Plebani M. … Towards a new paradigm in laboratory medicine: the five rights. … https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
Errors in the clinical … laboratory testing process can lead to delays in diagnosis and treatment. … ://psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities … Real-time automated paging and decision support for critical laboratory abnormalities. … Real-time automated paging and decision support for critical laboratory abnormalities. … March 11, 2019
Impact of non-interruptive medication laboratory monitoring alerts in … January 17, 2012
Medical errors arising from outsourcing laboratory and radiology services
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psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
August 26, 2011 - Study
Reduction in hospital-wide clinical laboratory specimen identification errors … Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Errors following Process Interventions … Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Errors following Process Interventions … February 2, 2022
Diagnostic stewardship—leveraging the laboratory to improve antimicrobial … April 14, 2011
Decreasing mislabeled laboratory specimens using barcode technology and
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … cause analyses were used to identify causal factors for patient misidentification errors in clinical laboratories … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … More About The Topic
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/45448/psn-pdf
January 23, 2017 - Accuracy of laboratory data communication on ICU daily
rounds using an electronic health record. … Accuracy of Laboratory Data Communication on ICU Daily Rounds Using
an Electronic Health Record. … https://psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic … This
direct observation study found that laboratory data reported at rounds is prone to error, most … -37532-laboratory-event-reports-30
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psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
December 03, 2014 - 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 the … RIS
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Related Resources From the Same Author(s)
Laboratory … February 15, 2010
Classifying laboratory incident reports to identify problems that jeopardize … See More About The Topic
Hospitals
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/50372/psn-pdf
September 25, 2019 - Prevalence and predictability of low-yield inpatient
laboratory diagnostic tests. … Prevalence and Predictability of Low-Yield Inpatient Laboratory
Diagnostic Tests. … https://psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests … study involving inpatients treated at three
academic medical centers, researchers found that ordering laboratory … https://psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory … Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory … test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories … October 3, 2017
Improving Patient Safety in Laboratory Medicine. … October 9, 2013
Errors in Laboratory Medicine and Patient Safety.
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psnet.ahrq.gov/node/47485/psn-pdf
January 09, 2019 - System-related and cognitive errors in laboratory
medicine.
January 9, 2019
Plebani M. … System-related and cognitive errors in laboratory medicine. … laboratory tests can contribute to diagnostic error. … This commentary discusses several
approaches to decrease system and cognitive errors in clinical laboratories … frontline physicians to
enhance the laboratory testing process and reduce diagnostic error.
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psnet.ahrq.gov/node/47626/psn-pdf
February 13, 2019 - The effect of a clinical decision support for pending
laboratory results at emergency department discharge … The Effect of a Clinical Decision Support for Pending
Laboratory Results at Emergency Department Discharge … https://psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency- … https://psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge … https://psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
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psnet.ahrq.gov/node/72778/psn-pdf
February 24, 2021 - Distractions in the cardiac catheterisation laboratory:
impact for cardiologists and patient safety. … Distractions in the cardiac catheterisation laboratory: impact for
cardiologists and patient safety. … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety … https://psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - The first was a laboratory error. … The laboratory is often unaware that
the patient is pregnant. … Clinical laboratories should follow strict algorithms for contacting a responsible clinician when
communicating … Toward optimal laboratory use. Problems in laboratory testing in
primary care. … Errors in laboratory medicine: practical lessons to improve patient safety.
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psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
February 14, 2024 - A laboratory experiment and field study in cardiac rehabilitation. … A laboratory experiment and field study in cardiac rehabilitation. … A laboratory experiment and field study in cardiac rehabilitation. … January 12, 2022
Impact of interactions between drugs and laboratory test results on … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.