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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Study
Sample to sample carryover: a source of analytical laboratory error and its … Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical … Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Right Patient, Wrong Sample
Citation Text:
Astion ML. Right Patient, Wrong Sample. … Right Patient, Wrong Sample. PSNet [internet]. … The sample was sent to the laboratory for analysis. … morning, a laboratory technician noticed a large and surprising change (compared to the previous day’s sample … Right Patient, Wrong Sample. PSNet [internet].
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Classic
The July effect: an analysis of never events in the nationwide inpatient sample … The July effect: an analysis of never events in the nationwide inpatient sample. … This retrospective cohort study used the AHRQ-maintained nationwide inpatient sample database to examine … The July effect: an analysis of never events in the nationwide inpatient sample.
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psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - Review
Impact of sample size on variation of adverse events and preventable adverse … Impact of sample size on variation of adverse events and preventable adverse events: systematic review … In general, smaller studies (sample size less than 1000 patients) found a much higher incidence of errors … Impact of sample size on variation of adverse events and preventable adverse events: systematic review
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psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
January 26, 2022 - weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample … weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample … Based on a sample of over 121 million adult hospital discharges from 2016 to 2019, researchers examined … weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample
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psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
July 12, 2010 - Study
Evaluating sample medications in primary care: a practice-based research network … Evaluating sample medications in primary care: a practice-based research network study. … This survey of primary care practices found that, while sample medications were dispensed at nearly 10% … Evaluating sample medications in primary care: a practice-based research network study.
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psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - This study found that sample medications lacked instructions that could be understood by patients with
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psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - Study
An observational study of laterality errors in a sample of clinical records … An observational study of laterality errors in a sample of clinical records. … An observational study of laterality errors in a sample of clinical records.
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - • At this hospital, an initial blood sample is sent in a purple
tube from the holding area and then … the blood bank will
request a second confirmatory sample in a pink tube … container remotely and then transporting it to the
bedside to collect the sample increases the risk … – A clear procedure for bedside sample label verification that ideally
incorporates bedside barcode … is affixed to the container before the
person who obtained the sample leaves the bedside
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psnet.ahrq.gov/node/36075/psn-pdf
September 28, 2010 - Sample to sample carryover: a source of analytical
laboratory error and its relevance to integrated … Sample to sample carryover: a source of analytical laboratory error and its
relevance to integrated … https://psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance … https://psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated … https://psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
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psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
August 10, 2016 - Common blood sample errors, such as mislabeling or patient misidentification , can contribute to … February 13, 2008
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/node/36469/psn-pdf
September 27, 2010 - Evaluating sample medications in primary care: a
practice-based research network study. … Evaluating sample medications in primary care: a practice-
based research network study. … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network … -
study
This survey of primary care practices found that, while sample medications were dispensed at … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - Study
Enhanced detection of blood bank sample collection errors with a centralized … Enhanced detection of blood bank sample collection errors with a centralized patient database. … Enhanced detection of blood bank sample collection errors with a centralized patient database. … Related Resources From the Same Author(s)
Electronic patient identification for sample
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psnet.ahrq.gov/node/40117/psn-pdf
March 18, 2011 - Impact of sample size on variation of adverse events and
preventable adverse events: systematic review … Impact of sample size on variation of adverse events and
preventable adverse events: systematic review … https://psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events … In general, smaller studies (sample
size less than 1000 patients) found a much higher incidence of errors … https://psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
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psnet.ahrq.gov/node/38417/psn-pdf
February 18, 2009 - Enhanced detection of blood bank sample collection
errors with a centralized patient database. … Enhanced detection of blood bank sample collection errors with a
centralized patient database. … https://psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient … https://psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database … https://psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
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psnet.ahrq.gov/node/43342/psn-pdf
July 16, 2014 - Prevalence and severity of patient harm in a sample of
UK-hospitalised children detected by the Paediatric … Prevalence and severity of patient harm in a sample of UK-
hospitalised children detected by the Paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-
detected-paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
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psnet.ahrq.gov/node/40873/psn-pdf
November 26, 2014 - Inappropriate medication in a national sample of US
elderly patients receiving home health care. … Inappropriate medication in a national sample of US elderly patients
receiving home health care. … https://psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home … https://psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care … https://psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
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psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - Study
Relationships between pediatric safety indicators across a national sample … Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling … Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling
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psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
September 20, 2012 - Emerging Classic
Electronic patient identification for sample … Electronic patient identification for sample labeling reduces wrong blood in tube errors. … Electronic patient identification for sample labeling reduces wrong blood in tube errors.
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Most reported errors were near misses and occurred during sample collection, sample handling, and product … April 12, 2011
Enhanced detection of blood bank sample collection errors with a centralized