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psnet.ahrq.gov/node/35417/psn-pdf
February 15, 2010 - Errors in laboratory medicine: practical lessons to
improve patient safety. … Errors in laboratory medicine: practical lessons to improve patient safety. … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
This … reporting, while generating
benchmarks and practical guidance for integrating the measures into every laboratory … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
https
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www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - (4) The physician reviews the results and acts on the results (for laboratory and radiology testing … Laboratory Testing, Radiology Testing, and Medication Delivery Process Events
LABORATORY TESTING RADIOLOGY … Percent of Laboratory Tests with Events, by Site
0%
1%
2%
3%
4%
5%
6%
7%
8%
Laboratory Testing Events … The second of the two main outcome measures was the
turnaround times for laboratory testing and radiology … Data being collected
included the times of each critical, time-dependent step in the laboratory, radiology
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.jsp
April 01, 2011 - Clinical Laboratory Data Elements
Albumin
Alkaline phosphatase
Base Excess
Bicarbonate
Blood … data terminology and to verify accuracy of the final normalized map of laboratory values to LOINC. … Data Transmission
Hospitals extracted laboratory and blood culture data from inpatient admissions … All inpatients records and all laboratory tests were included in the dataset. … Step 2: Develop Standardized Ranges for the Clinical Laboratory Data Elements.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
May 01, 2014 - is to contact the primary laboratory from which
you obtain culture results. … The laboratory that processes your cultures will have a record of the
antibiotic susceptibility tests … Ask the laboratory for a copy of the
susceptibility test data for all diagnostic cultures processed … Alternatively, you can contact the director
of your primary laboratory. … Potential Data Sources
Laboratory—electronic or paper based
Who do you ask for the data?
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psnet.ahrq.gov/node/43713/psn-pdf
December 03, 2014 - Laboratory medicine handoff gaps experienced by
primary care practices: a report from the Shared
Networks … Laboratory medicine handoff gaps experienced by primary care
practices: A report from the shared networks … https://psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report … primary care providers revealed a lack of standardization for the tracking,
receiving, and reporting of laboratory … https://psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine. … Managing the patient identification crisis in healthcare and laboratory
medicine. … https://psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine … This commentary recommends several strategies to redesign laboratory processes to reduce risks of
specimen … https://psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Because
of improvements in and automation of laboratory procedures, most laboratory errors occur during … A total of 180 laboratory problems were detected, for a crude frequency of 1.1 laboratory
problems per … Errors in laboratory medicine. Clin Chem. 2002; 48:5:691-8.[
go to PubMed ]
7. … Error rates in Australian chemical pathology laboratories. … Toward optimal laboratory use. Problems in laboratory testing in
primary care.
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www.ahrq.gov/research/findings/final-reports/index.html?page=4
January 01, 2024 - P30 HS 023506 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory … Publication Date: September 2019
Making Acute Care More Patient Centered, Patient Safety Learning Laboratory … Factors Approaches To Improve Patient Safety, Patient and Family Engagement, Patient Safety Learning Laboratory … Communication and Teamwork, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory … Environmental Factors, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory
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psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
July 31, 2019 - June 3, 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. … November 25, 2020
Data quality associated with handwritten laboratory test requests: … April 16, 2014
Errors in Laboratory Medicine and Patient Safety. … August 25, 2010
Error tracking in a clinical biochemistry laboratory.
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psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas
April 21, 2021 - September 29, 2017
Improving Patient Safety in Laboratory Medicine. … July 16, 2013
Errors in Laboratory Medicine and Patient Safety. … November 3, 2012
Quality indicators to detect pre-analytical errors in laboratory testing … 2, 2009
Causes, consequences, detection, and prevention of identification errors in laboratory … More About The Topic
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/36390/psn-pdf
June 30, 2011 - Laboratory results that should be ignored.
June 30, 2011
Elston DM. … Laboratory results that should be ignored. MedGenMed. 2006;8(4):9. … https://psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
The author discusses false laboratory … https://psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
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psnet.ahrq.gov/issue/communicating-critical-test-results-0
November 19, 2014 - A previous AHRQ WebM&M commentary addressed the issue of communication surrounding critical laboratory … March 13, 2019
Medical errors arising from outsourcing laboratory and radiology services … for Interpretation of Positive Blood Cultures
January 1, 2008
Classifying laboratory … Topic
Clinical Technologists
Physicians
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - Many laboratories rely on prior lists that have been revised in practice over
time or have developed … While many (if not most) laboratories do have critical value limits for troponin, some may communicate … While it may initially seem
surprising, some laboratories have chosen to not include troponin on their … ARUP Laboratories
Heather N. … ISO 15189:2007, Medical laboratories—particular
requirements for quality and competence.
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psnet.ahrq.gov/node/38683/psn-pdf
November 03, 2012 - Errors in Laboratory Medicine and Patient Safety.
November 3, 2012
Plebani M, ed. … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
This collection of papers … presented at an international conference on laboratory medicine focuses on
efforts to reduce medical … errors in laboratory practice, especially those concerning diagnostic mistakes. … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Many laboratories rely on prior lists that have been revised in practice over time or have developed … While many (if not most) laboratories do have critical value limits for troponin, some may communicate … While it may initially seem surprising, some laboratories have chosen to not include troponin on their … ARUP Laboratories Heather N. … ISO 15189:2007, Medical laboratories—particular requirements for quality and competence.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.pdf
December 31, 2007 - Data
o Brief Description of Project Stages
o LOINC Mapping
o Data Challenges in Joining Clinical Laboratory … All inpatients records and all
laboratory tests were included in the
dataset. … Clinically determined erroneous
laboratory test results were
excluded from the analysis file. … Step 2: Develop Standardized Ranges for the Clinical
Laboratory Data Elements. … Step 4: Determine the Effect of each Laboratory Data
Element on Risk of Mortality at the Overall
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/young-dw-1981-improving
January 01, 2023 - The study shows how a computer-based prompt system improved the frequency with which a set of routine laboratory … Objective
To report on the effect of a "system on the requesting of a standard set of [laboratory] … After patient information is entered, such as patient history, physical examination, and laboratory tests … During this study, the sheet included a reminder to perform certain laboratory investigations, including
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psnet.ahrq.gov/node/37190/psn-pdf
October 07, 2011 - Medical errors arising from outsourcing laboratory and
radiology services. … Medical errors arising from outsourcing laboratory and radiology services. … https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
This … several diagnostic errors attributable at least in part to suboptimal
communication between external laboratory … https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
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psnet.ahrq.gov/node/41671/psn-pdf
September 12, 2012 - Quality indicators to detect pre-analytical errors in
laboratory testing. … Quality indicators to detect pre-analytical errors in laboratory testing. … https://psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
This … recommends that quality indicators for preanalytical testing can improve reliability and safety in
laboratory … https://psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
https
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psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
December 21, 2022 - Study
Evaluating a patient safety learning laboratory to create an interdisciplinary … Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care … Patient safety learning laboratories (PSLL) encourage a cross-disciplinary, collaborative approach to … reveal four types of alignment and supporting practices that contribute to the success of the learning laboratories … Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care