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www.ahrq.gov/research/findings/final-reports/index.html?page=3
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Building an Ambulatory Patient Safety Learning Laboratory … P30 HS 023558 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory … Communication and Teamwork Publication Date: August 2020
NYU Patient Imaging, Quality and Safety Laboratory … Health Information Exchange, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory … P30 HS 024403 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory
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www.ahrq.gov/research/findings/final-reports/index.html?page=1
January 01, 2024 - s): Human Factors Approaches To Improve Patient Safety, Medication Safety, Patient Safety Learning Laboratory … Teamwork, Diagnostic Safety, Emergency Care Publication Date: December 2022
Acute Care Learning Laboratory … s): Diagnostic Safety, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory … Publication Date: November 2022
Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing … Factors, Human Factors Approaches To Improve Patient Safety, Measure Development, Patient Safety Learning Laboratory
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory … September 1, 2012
Voluntary electronic reporting of laboratory errors: an analysis of … 37,532 laboratory event reports from 30 health care organizations. … August 26, 2011
Decreasing mislabeled laboratory specimens using barcode technology and … February 2, 2011
Patient safety in the clinical laboratory: a longitudinal analysis of
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psnet.ahrq.gov/node/35944/psn-pdf
August 02, 2010 - Analysis of laboratory critical value reporting at a large
academic medical center. … Analysis of laboratory critical value reporting at a large academic
medical center. … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
December 14, 2011 - AND: Intersection of:
Intersection of:
"Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test … (result <= 7000
mg/dL)"
Intersection of:
"Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test … (start
datetime)"
Intersection of:
"Laboratory Test, Performed: Hgb (Hemoglobin) Laboratory Test (reason … Transfer" using "Occurrence A of PICU
Admission or Transfer User Defined QDM Value Set (1.1.1.1)"
"Laboratory … Test, Performed: Hgb (Hemoglobin) Laboratory Test" using "Hgb (Hemoglobin) Laboratory Test
User Defined
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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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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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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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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/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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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - Similarly, several laboratory studies are routinely performed in this setting, as vitamin deficiencies … Laboratory Studies for First Episode Psychotic Illness9-14
Urine drug screen
Basic metabolic panel … The combination of a psychotic presentation with positive SLE-specific laboratory results is enough to … It is unclear why obviously abnormal laboratory studies were not acted
upon to effectuate the needed … Failure to follow-up on abnormal laboratory results is not an uncommon system or process error and can
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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/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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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/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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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