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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-1-tables-1-3.pdf
June 02, 2025 - Evidence of infection includes positive findings on clinical exam, imaging, or
laboratory tests (e.g
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www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
January 01, 2024 - METHODS
The conference was held at the Johns Hopkins University Applied Physics Laboratory
(APL) in … The conference organizers
utilized the Warfare Analysis Laboratory (WAL), which is a specialized facility … critical care, trauma, etc.), administrative, engineering,
safety and security, mortuary, pharmacy, laboratory
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - reports and linked to data describing each patient in terms of medical orders, physiological data,
laboratory … Simulation Laboratory
The simulation laboratory was built to resemble an actual patient care area … three computer screens
(nursing station, medication cart, and patient bedside) were projected on the laboratory … Showing laboratory data
related to ordered medications to assist in decisions regarding whether to give … For example, nurses could benefit from viewing the latest
potassium level pulled from laboratory data
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www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
July 01, 2018 - AHRQ’s Patient Safety Learning Laboratories, through 13 grant projects, are designing and testing solutions … The Agency produced an updated guide/toolkit, “Improving Your Laboratory Testing Process,” to improve … standardization and systemization of laboratory testing processes.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chirpa-215-scd-ed-tables.pdf
January 01, 2002 - These facilities should have 24‐hour
access to medical consultants, hematology and
microbiology laboratories … pulse oximetry
reading (compared, if possible, to the patient’s
normal pulse ox reading, if known) … Laboratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - Errors in getting the right laboratory tests done for the right patient at the right time.
3. … Errors in responding to abnormal laboratory test results.8
Studies have found that most errors in … an interdisciplinary staff of nurses, pharmacists,
social workers, dieticians, psychologists, and laboratory … Fortunately, a call to the
cardiac studies laboratory resolved the problem within a week.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
January 23, 2017 - dissemination of results among
caregivers, thereby improving communication of confirmatory testing from laboratories … Reviewing a laboratory result for newborn screening may be
18
captured by the EHR in the places … The ONC’s Health IT Standards explicitly address the receipt of laboratory results into EHRs,
which … Electronically display in human readable format any
clinical laboratory tests that have been received … Enable a user to electronically update a patient's record based upon received
laboratory test results
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
March 01, 2022 - testing is limited and inconsistent across the health professions, even though medical imaging and laboratory
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www.ahrq.gov/teamstepps-program/evidence-base/improvement.html
June 01, 2023 - in medical team communication: Results of quality improvement efforts in a cardiac catheterization laboratory
-
www.ahrq.gov/ncepcr/index.html
care practices implement the best evidence
Practice-Based Research Networks
Clinical laboratories
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www.ahrq.gov/funding/grantee-profiles/grtprofile-anger.html
January 01, 2025 - Anger received a 5-year AHRQ-funded Patient Safety Learning Laboratory grant in 2023.
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Laboratory results
Repeat back laboratory results conveyed over the phone to confirm the receiver heard
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
September 01, 2024 - Further laboratory workup showed she was positive for anti-GAD and anti-ICA antibodies and her HbA1c … Many of the common reference values for laboratory diagnostic tests are determined in young and healthy … inappropriate UTI diagnosis in older women 90 and hematological reference intervals for frequently used laboratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - suggestive of influenza or acute respiratory illness, even if it’s not influenza season.4
− Once a laboratory-confirmed
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - If poor growth or abnormal laboratory results, recommend neonatal dietitian consult to assess need for … Recommendations
Infants with birth weight <1800g or poor growth history, fluid restriction, or abnormal laboratory
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - If poor growth or abnormal laboratory results, recommend neonatal dietitian consult to assess need for … Recommendations
Infants with birth weight <1800g or poor growth history, fluid restriction, or abnormal laboratory
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - Blood Culture Contamination
SAY:
Monitoring and reporting blood culture contamination rates is a laboratory … The Clinical Laboratory Standards Institute (CLSI) recommends calculating monthly rates of blood culture … Cultures, 2nd Edition
· CDC: Preventing Adult Blood Culture Contamination: A Quality Tool for Clinical Laboratory … It is an established laboratory quality best practice, which integrates well into patient safety improvement
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - include any failure in timely access to care; elicitation or interpretation of symptoms, signs, or laboratory … Previous studies suggest that 6.8 to 62 percent of abnormal laboratory tests and 1.0 to 35.7 percent … order entry (CPOE) systems. 219
Experts and research studies propose that integration of CPOE with laboratory … Failure to close the loop can occur due to failures in timely followup of abnormal laboratory results … Such teams include experts in diagnostic specialties such as laboratory medicine and are available for
-
www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - They enhance the reliability of laboratory testing in medical offices; establish a culture of patient
-
www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - conducted a study to assess the association between real-world drug name
confusion error rates and laboratory-based … Results
Laboratory test error rates (and other metrics) significantly predicted real-world error rates … Cross-validation analyses confirmed these results, showing that laboratory tests also
predicted errors … from a second pharmacy system, with 45% of the variance being explained by the laboratory
test data … Cognitive tests predict real-world errors: the relationship between drug name confusion rates in
laboratory-based