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Total Results: 977 records

Showing results for "samples".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43080/psn-pdf
    March 26, 2014 - On the laboratory side, the most serious threat to patient safety was mislabeled blood samples.

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45695/psn-pdf
    December 14, 2016 - led to a significant decrease in the rate of lab specimen collection and handling errors for blood samples

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45900/psn-pdf
    June 07, 2017 - blood-bank-specimen-mislabeling-college-american-pathologists-q-probes- study-41333-blood-bank The rate of mislabeled blood samples

24. Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. | PSNet
    psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
    January 12, 2022 - present a protocol to measure and assess specimen-to-specimen contamination in large sets of laboratory samples

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35424/psn-pdf
    April 09, 2013 - a standardized system to establish correlation error frequencies between cytologic and histologic samples

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50841/psn-pdf
    January 29, 2020 - 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 https://psnet.ahrq.gov//#21 samples against the two unique identifiers

27. “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

28. Safe Surgery 2020. | PSNet
    psnet.ahrq.gov/issue/safe-surgery-2015
    February 22, 2023 - May 17, 2023 Learning from samples of one or fewer.

29. Evaluating sample medications in primary care: a practice-based research network study. | PSNet
    psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
    July 12, 2010 - the Institute for Safe Medication Practices' recommendations for safe distribution of medication samples

30. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet
    psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
    March 09, 2022 - On the laboratory side, the most serious threat to patient safety was mislabeled blood samples.

31. Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. | PSNet
    psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
    November 16, 2022 - The rate of mislabeled blood samples in hospital laboratories did not improve significantly between

32. Healthcare: The Problems Are Organizational Not Clinical. | PSNet
    psnet.ahrq.gov/issue/healthcare-problems-are-organizational-not-clinical
    July 14, 2010 - October 5, 2011 Learning from samples of one or fewer.

33. Human Factors in Anaesthesia and Critical Care. | PSNet
    psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care
    June 15, 2011 - January 24, 2018 Learning from samples of one or fewer.

34. Blood sampling guidelines with focus on patient safety and identification—a review. | PSNet
    psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
    August 10, 2016 - A WebM&M commentary explored problems associated with mislabeled blood samples.

35. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet
    psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
    September 01, 2012 - Of the 27 rescreened samples, 16 were recategorized to positive.

36. Medical research and the Institutional Review Board: the librarian's role in human subject testing. | PSNet
    psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject-testing
    June 01, 2022 - March 1, 2023 Learning from samples of one or fewer.

37. Poor medication history plus slow symptom onset delays a diagnosis. | PSNet
    psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
    October 12, 2022 - March 5, 2014 Learning from samples of one or fewer.

38. Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. | PSNet
    psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
    September 29, 2021 - February 22, 2023 Learning from samples of one or fewer.

39. Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet
    psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
    May 29, 2019 - led to a significant decrease in the rate of lab specimen collection and handling errors for blood samples

40. Quality and patient safety. Engaging your board to take the lead.  | PSNet
    psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
    April 21, 2015 - July 25, 2011 Do medication samples jeopardize patient safety?