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Showing results for "samples".

1. Do medication samples jeopardize patient safety? | PSNet
   psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
   November 16, 2022 - Study Do medication samples jeopardize patient safety? … Do medication samples jeopardize patient safety? … Do medication samples jeopardize patient safety?

2. Learning from samples of one or fewer. | PSNet
   psnet.ahrq.gov/issue/learning-samples-one-or-fewer
   December 21, 2017 - Review Classic Learning from samples of one or fewer. … Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. … Copy URL Cite Citation Citation Text: Learning from samples

3. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/38372/psn-pdf
   April 09, 2009 - Do medication samples jeopardize patient safety? … Do medication samples jeopardize patient safety? … https://psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety Prior research has demonstrated … https://psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety https://psnet.ahrq.gov/issue

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/49436/psn-pdf
   February 26, 2004 - In a 10-nation study of more than 690,000 blood samples from 62 hospitals, the median rate of sample … Mislabeled samples—samples with labels not meeting locally accepted standards—had an even higher but … A different study of tested samples rejected because of mislabeling showed that these samples had a … 40-fold higher rate of blood type discrepancies than correctly labeled samples.(3) These data indicate … Paradoxically, since inadequately labeled samples give the lab some degree of warning, they afford less

5. Transfusion "Slip" | PSNet
   psnet.ahrq.gov/web-mm/transfusion-slip
   June 14, 2011 - Miscollected blood samples—the wrong blood in the tube—are a common problem in blood transfusion. … In a 10-nation study of more than 690,000 blood samples from 62 hospitals, the median rate of sample … Mislabeled samples—samples with labels not meeting locally accepted standards—had an even higher but … A different study of tested samples rejected because of mislabeling showed that these samples had a 40 … -fold higher rate of blood type discrepancies than correctly labeled samples.( 3 ) These data indicate

6. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/34719/psn-pdf
   December 23, 2008 - Learning from samples of one or fewer. December 23, 2008 March JG, Sproull LS, Tamuz M. … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer Organizations learn from experience. … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer

7. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/47603/psn-pdf
   March 20, 2019 - Investigators found that use of barcoding improved the accuracy of labels on blood samples and samples … The authors conclude that the results support the use of barcoding and the exclusion of blood samples

8. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/49421/psn-pdf
   October 01, 2003 - Both patients were asked to resubmit urine samples; in fact, the patient was pregnant. … The physician was placed in the awkward position of informing the patient that the samples had been … It was fortuitous that the laboratory technician realized that the samples had been swapped due to the … In addition, samples may not be labeled at all, or may be labeled only after the patient has left. … Barcode technology is another way of tracking samples and linking patients accurately to their samples

9. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/50949/psn-pdf
   February 26, 2020 - The samples were dropped off at the central laboratory receiving window where the time/date of receipt … Upon arrival at the satellite facility, samples are logged and accessioned for testing at their respective … As per routine procedure, the Clinical Laboratory immediately sequestered all samples related to the … The frequency of lost samples reflects the challenges faced by hospital laboratories. … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122

10. Electronic patient identification for sample labeling reduces wrong blood in tube errors. | PSNet
    psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
    September 20, 2012 - Investigators found that use of barcoding improved the accuracy of labels on blood samples and samples … The authors conclude that the results support the use of barcoding and the exclusion of blood samples

11. Urine a Tough Position | PSNet
    psnet.ahrq.gov/web-mm/urine-tough-position
    January 01, 2009 - Both patients were asked to resubmit urine samples; in fact, the patient was pregnant. … The physician was placed in the awkward position of informing the patient that the samples had been switched … It was fortuitous that the laboratory technician realized that the samples had been swapped due to the … In addition, samples may not be labeled at all, or may be labeled only after the patient has left. … Barcode technology is another way of tracking samples and linking patients accurately to their samples

12. Spotlight
    psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
    January 01, 2024 - is common, contributing to approximately 40% of all laboratory errors and affecting up to 12% of all samples … , intravascular hemolysis) or non-biological conditions during the collection and handling of blood samples … one retrospective study, the mean difference in potassium concentration between in vitro hemolyzed samples … and non-hemolyzed samples was 1.9 mmol/L, with a minimum and maximum difference of 0.7 and 4.6 mmol/ … be unable to detect hemolysis.3 Increasing awareness of spurious results due to hemolysis: If lab samples

13. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
    psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - The samples were dropped off at the central laboratory receiving window where the time/date of receipt … Upon arrival at the satellite facility, samples are logged and accessioned for testing at their respective … As per routine procedure, the Clinical Laboratory immediately sequestered all samples related to the … The frequency of lost samples reflects the challenges faced by hospital laboratories. … Blood bank safety practices: Mislabeled samples and wrong blood in tube – a Q-Probes analysis of 122

14. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866618/psn-pdf
    December 31, 2024 - common, contributing to approximately 40% of all laboratory errors and affecting up to 12% of all samples … during the collection and handling of blood https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov//#2 samples … one retrospective study, the mean difference in potassium concentration between in vitro hemolyzed samples … and non-hemolyzed samples was 1.9 mmol/L, with a minimum and maximum difference of 0.7 and 4.6 mmol … be unable to detect hemolysis.3 Increasing awareness of spurious results due to hemolysis: If lab samples

15. A Fatal Twist in Pseudohyperkalemia | PSNet
    psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - is common, contributing to approximately 40% of all laboratory errors and affecting up to 12% of all samples … , intravascular hemolysis) or non-biological conditions during the collection and handling of blood samples … one retrospective study, the mean difference in potassium concentration between in vitro hemolyzed samples … and non-hemolyzed samples was 1.9 mmol/L, with a minimum and maximum difference of 0.7 and 4.6 mmol/ … be unable to detect hemolysis. 3 Increasing awareness of spurious results due to hemolysis: If lab samples

16. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - hospital-performance-trends-national-quality-measures-and-association-joint-commission https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer

17. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36075/psn-pdf
    September 28, 2010 - present a protocol to measure and assess specimen-to-specimen contamination in large sets of laboratory samples

18. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36027/psn-pdf
    March 28, 2011 - screening process may serve as an important method to survey patient safety in large population-based samples

19. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36469/psn-pdf
    September 27, 2010 - follow the Institute for Safe Medication Practices' recommendations for safe distribution of medication samples

20. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - Identify the patient with two unique identifiers. 2) Connect the patient identifiers to all prepared lab samples … This review may include re-educating the staff on the current SOP, evaluating other samples processed … assessment of test performance through testing of previously analyzed specimens, internal blind testing of samples … , or external proficiency testing of samples; and (6) assessment of problem-solving skills. 21 A monitoring … Checking the labels of all blood samples against the two unique identifiers on the patient’s wristband