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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - He came to learn that a fax of the laboratory results had been sent to the clinic on
Saturday with the … results.(8) Physicians also believe that
inadequate follow-up of laboratory results harms patients. … Workflow changes should: (i) ensure that all
laboratory tests include the correct ordering provider; … Inadequate laboratory test result follow-up is a system problem requiring a system solution. … Missed hypothyroidism diagnosis uncovered by linking laboratory
and pharmacy data.
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - This study reports on the development of standards for laboratory monitoring of high-risk medications … 22, 2018
Impact of health information technology interventions to improve medication laboratory … June 5, 2018
Academic detailing to improve laboratory testing among outpatient medication … 19, 2011
Impact of health information technology interventions to improve medication laboratory … Ambulatory Care
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - after performance of a root cause analysis , reduced specimen identification errors in a pathology laboratory … April 12, 2011
Decreasing mislabeled laboratory specimens using barcode technology and … February 2, 2011
Error tracking in a clinical biochemistry laboratory. … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories … The Topic
Health Care Providers
Health Care Executives and Administrators
Pathology and Laboratory
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gilmet-gp-et-al-1998
January 01, 1998 - Gilmet GP et al. 1998 "The use of an integrated clinical laboratory and pharmacy diabetes database to … The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance … Abstract
"The ability to link pharmacy claims and clinical laboratory result databases in a managed … capability that generates dynamic, disease-specific reports containing actionable, provider-patient-level laboratory … [by] merging patient records of clinical laboratory data, prescription claims and PCP assignment into
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings. … Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. … https://psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings … This AHRQ–funded study retrospectively examined the failure rate of recommended laboratory surveillance … The authors conclude that the prevalence of
inadequate laboratory monitoring should stimulate further
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection … System hazards in managing laboratory test requests and results in
primary care: medical protection … https://psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care … -
medical-protection
This retrospective study of abnormal laboratory test orders and results in primary … The authors describe a conceptual model to comprehensively
address the safety of laboratory testing
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psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
August 19, 2020 - as workflow and technology , this paper highlights the need for national thresholds for critical laboratory … March 13, 2019
Impact of non-interruptive medication laboratory monitoring alerts in … 1, 2012
Impact of health information technology interventions to improve medication laboratory … See More About The Topic
Hospitals
Ambulatory Clinic or Office
Pathology and Laboratory
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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - learning was used to identify potential WBIT errors which were then compared to manual review by laboratory … September 1, 2021
Laboratory medicine handoff gaps experienced by primary care practices … March 23, 2012
Error tracking in a clinical biochemistry laboratory. … See More About The Topic
Information Professionals
Hematology
Pathology and Laboratory
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psnet.ahrq.gov/node/41557/psn-pdf
August 01, 2012 - Signal and noise: applying a laboratory trigger tool to
identify adverse drug events among primary care … Signal and noise: applying a laboratory trigger tool to identify adverse
drug events among primary care … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events … These six laboratory values have been previously identified as having high
positive predictive value … The poor specificity of triggers led the authors to conclude that
these abnormal laboratory values are
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psnet.ahrq.gov/node/39087/psn-pdf
November 11, 2009 - Error tracking in a clinical biochemistry laboratory.
November 11, 2009
Szecsi PB, Ødum L. … Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). … https://psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
This study analyzed nearly … 1200 laboratory errors through a systematic tracking approach and found that
more than 80% were due … /errors-laboratory-medicine-practical-lessons-improve-patient-safety
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, … https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design … This learning laboratory funding builds on prior initiatives to further improvements in patient
safety … https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems … issue/improving-diagnosis-health-care
https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
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psnet.ahrq.gov/node/47884/psn-pdf
May 22, 2019 - Implementation and evaluation of a laboratory safety
process improvement toolkit. … Implementation and Evaluation of a Laboratory Safety Process
Improvement Toolkit. … https://psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit … https://psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Because nearly all laboratories rely on CPOE and
the EHR system to receive physician orders and to send … Observations: In addition to analyzing the archival data, the research team
conducted observations in the laboratories … In
the laboratories, the research team observed specific workstations, such as the
accessioning where … Focusing on specific
workstations allowed us to capture the nuanced operations of the laboratories that … core laboratory and supervisors.
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - He came to learn that a fax of the laboratory results had been sent to the clinic on Saturday with the … results.( 8 ) Physicians also believe that inadequate follow-up of laboratory results harms patients … Workflow changes should: (i) ensure that all laboratory tests include the correct ordering provider; … Inadequate laboratory test result follow-up is a system problem requiring a system solution. … Missed hypothyroidism diagnosis uncovered by linking laboratory and pharmacy data.
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists … Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. … Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - A randomized trial of electronic clinical reminders to
improve medication laboratory monitoring. … A randomized trial of electronic clinical reminders to improve
medication laboratory monitoring. … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory … received targeted reminders
within the existing electronic medical record prompting them to order laboratory … https://psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
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psnet.ahrq.gov/node/42886/psn-pdf
January 22, 2014 - Patient identification errors: the detective in the
laboratory. … Patient identification errors: the detective in the laboratory. … https://psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
Although electronic … test ordering resulted in fewer patient identification errors in a clinical laboratory,
significant … /issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - Study
Evaluation of laboratory monitoring alerts within a computerized physician … Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication … This study randomized primary care physicians to receive specific laboratory monitoring alerts for a … Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory … A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens … A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens … laboratory event reports from 30 health care organizations. … specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Study
Laboratory test ordering and results management systems: a qualitative study … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … April 12, 2017
System hazards in managing laboratory test requests and results in primary … April 14, 2011
Direct reporting of laboratory test results to patients by mail to enhance