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psnet.ahrq.gov/node/36189/psn-pdf
February 15, 2010 - Identification errors involving clinical laboratories: a
College of American Pathologists Q-Probes study … Identification errors involving clinical laboratories: a
College of American Pathologists Q-Probes study … https://psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american- … pathologists-q-probes
The investigators analyzed information on misidentified laboratory specimens … https://psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_Specifications_Phase_2.pdf
May 01, 2014 - nursing home program champion or his/her designee should share this
document with the affiliated laboratory … The specifications are based on the guidelines of the Clinical and
Laboratory Standards Institute ( … antimicrobial sensitivities for specific
organisms have been built into the data request to clinical laboratories … Submit Original Data
Request With Clinical
Laboratory
Verify that the laboratory antibiogram software … q q
Final Preparation Review clinical summary data from laboratory.
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psnet.ahrq.gov/node/40999/psn-pdf
January 01, 2012 - Improving patient safety via automated laboratory-based
adverse event grading. … Improving patient safety via automated laboratory-based adverse event
grading. … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.jsp
September 01, 2014 - Historical Data Files
The laboratories initially proposed that HHIC provide the facility id, account … Data provided to the laboratories was not necessarily in the same format as the data that resided in … the laboratories repository due to variances in each organizations data specifications. … Customization by the laboratories and HHIC to format the data by removing the leading 0's for linking … This allowed the laboratories to view a range of dates to determine which lab results met the project
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.pdf
October 01, 2011 - One of the laboratories, which supplies data for two of the
facilities, does not collect SSN (a key … Historical Data Files
The laboratories initially proposed that HHIC provide the facility id, account … Data provided to the
laboratories was not necessarily in the same format as the data that resided
in … the laboratories repository due to variances in each organizations data
specifications. … data was implemented by facility.
7 | P a g e
resulted in the laboratories not being able
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Appendix19bCLMAPBanningv1.pdf
April 01, 2009 - Clinical Laboratory News, April 2009. Volume
35; 4:1
3. Banning, P. … Medical Laboratory Observer, Washington Report. February
2009 p.48. … • As laboratory data incorporates into electronic health records,
there will be increased demands … •The result codes were translated to LOINC® by trained
medical laboratory staff, with local subject … Laboratory test codes from different sites don’t
correlate in mnemonic.
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - Most of these tests had to be sent to an external laboratory and the results returned intermittently … The laboratory finding that established this diagnosis was available in the electronic health record … However, for less common studies that must be sent to an off-site laboratory (like some of the antibody … Interestingly, in the study of EHR-generated alerts for abnormal laboratory results mentioned above, … Though the laboratory results were not yet available at the time of transfer, that handoff should have
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psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
April 23, 2014 - and effect analysis methodology, this study sought to prospectively identify safety hazards in the laboratory … September 29, 2017
Impact of non-interruptive medication laboratory monitoring alerts … September 1, 2016
Laboratory test ordering and results management systems: a qualitative … 31, 2011
A randomized trial of electronic clinical reminders to improve medication laboratory
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psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
July 16, 2013 - strategies were applied to improve workflow and reduce misidentification errors in a surgical pathology laboratory … April 12, 2011
Decreasing mislabeled laboratory specimens using barcode technology and … May 20, 2009
Computer-assisted bar-coding system significantly reduces clinical laboratory … General Hospitals
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory
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psnet.ahrq.gov/node/41934/psn-pdf
May 24, 2016 - Work Design Drivers of Organizational Learning about
Operational Failures: A Laboratory Experiment on … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-
laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
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psnet.ahrq.gov/node/36134/psn-pdf
February 24, 2011 - Direct reporting of laboratory test results to patients by
mail to enhance patient safety. … Direct reporting of laboratory test results to patients by mail
to enhance patient safety. … https://psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety … https://psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety
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psnet.ahrq.gov/node/35419/psn-pdf
February 15, 2010 - College of American Pathologists Special Topic
Symposium on Error in Pathology and Laboratory
Medicine—Practical … ://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-
laboratory-medicine … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL10AHRQprojectsummarytoHospitals.jsp
July 10, 2016 - The pilot project funding is provided to add clinical laboratory data to the hospital administrative … Work with each hospital to standardize its laboratory data terminology and values to Logical Observation … Work with each hospital to verify accuracy of the final normalized map of laboratory values and then … Extract three quarters of laboratory data, from April 1, 2007 – December 31, 2007, on all patients, for … all laboratory tests conducted.
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psnet.ahrq.gov/node/73581/psn-pdf
January 01, 2022 - Based on findings from their Patient Safety
Learning Laboratory, the authors used human factors engineering … psnet.ahrq.gov/web-mm/harm-alarm-fatigue
https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.jsp
December 01, 2010 - Clinical Data are: Numerical laboratory, vital signs, and other clinical data. … Hybrid Data are: Standard claims, Present-on-Admission, and numerical laboratory. … Hybrid Data are: Standard claims, Present-on-Admission, and numerical laboratory. … Hybrid Data are: Standard claims, Present-on-Admission, and numerical laboratory. … end of diagram
Numerical Laboratory Data
22 Laboratory Tests Enter At Least 1 Model
14 of These
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psnet.ahrq.gov/node/35644/psn-pdf
January 18, 2006 - Comparison and interpretation of urinalysis performed by
a nephrologist versus a hospital-based clinical laboratory … Comparison and interpretation of urinalysis performed by a nephrologist
versus a hospital-based clinical laboratory … comparison-and-interpretation-urinalysis-performed-nephrologist-versus-
hospital-based
This study demonstrated that laboratory-performed … advocate for either greater training of this expertise among
physicians or improved training among laboratory
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psnet.ahrq.gov/node/44169/psn-pdf
November 06, 2015 - psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
Reporting on weaknesses in laboratory … diagnosis—and raises concerns about insufficient transparency, investigations, and regulations around
laboratory … psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - laboratories should proactively monitor and report hemolysis
rates by clinical service and/or facility … 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/node/43758/psn-pdf
March 17, 2015 - A patient safety checklist for the cardiac catheterisation
laboratory. … A patient safety checklist for the cardiac catheterisation laboratory. … https://psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
Drawing from … https://psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
October 01, 2016 - Step-by-Step Guide to Working With a Laboratory To Obtain an Antibiogram
1. … the nursing home’s lab to inquire about creating an antibiogram
Identify the correct contact at the laboratory … home management, must review the standing agreement or contract that the nursing home has with the laboratory … should create the antibiogram in accordance with quality standards as established by the Clinical and Laboratory … Every few years, ask the laboratory about whether the standards have been changed.