AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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•Diagnostic Errors (3)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (2)

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•Transfusion Complications (10)

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•Epidemiology of Errors and Adverse Events (7)

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Pathology & Laboratory Medicine

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Setting of Care

•Hospitals (6)

1 - 18 of 18

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STUDY

Barcode technology: its role in increasing the safety of blood transfusion.

Turner CL, Casbard AC, Murphy MF. Transfusion. 2003;43:1200-1209.

COMMENTARY

Transfusion "Slip".

Kaplan HS. AHRQ WebM&M [serial online]. February 2004.

STUDY

Quality improvement to decrease specimen mislabeling in transfusion medicine.

Quillen K, Murphy K. Arch Pathol Lab Med. 2006;130:1196-1198.

COMMENTARY

Identification errors in pathology and laboratory medicine.

Valenstein PN, Sirota RL. Clin Lab Med. 2004;24:979-996.

REVIEW

The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.

Kornstein MJ, Byrne SP. Arch Pathol Lab Med. 2007;131:615-618.

STUDY

Specimen labeling errors in surgical pathology: an 18-month experience.

Layfield LJ, Anderson GM. Am J Clin Pathol. 2010;134:466-470.

STUDY

Current and emerging infectious risks of blood transfusions.

Busch MP, Kleinman SH, Nemo GJ. JAMA. 2003;289:959-962.

STUDY

Tracking with virtual slides: a tool to study diagnostic error in histopathology.

Treanor D, Lim CH, Magee D, Bulpitt A, Quirke P. Histopathology. 2009;55:37-45.

STUDY

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.

McCullough J, McKenna D, Kadidlo D, et al. Blood. 2009:114:1684-1688.

STUDY

Efficacy of an incident-reporting system in cellular pathology: a practical experience.

Rakha EA, Clark D, Chohan BS, et al. J Clin Pathol. 2012;65:643-648.

STUDY

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.

Dunn EJ, Moga PJ. Arch Pathol Lab Med. 2010;134:244-255.

STUDY

Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital.

Hayden RT, Patterson DJ, Jay DW, et al. J Pediatr. 2008;152:219-224.

STUDY

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.

STUDY

Possible net harms of breast cancer screening: updated modelling of Forrest report.

Raftery J, Chorozoglou M. BMJ. 2011;343:d7627.

GLOSSARY

MERS-TM Glossary.

Medical Event Reporting System for Transfusion Medicine (MERS-TM).

STUDY

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization.

Zarbo RJ, Tuthill JM, D'Angelo R, et al. Am J Clin Pathol. 2009;131:468-477.

STUDY

The attributes of medical event reporting systems.

Battles JB, Kaplan HS, Van der Scaaf TW, Shea CE. Arch Pathol Lab Med. 1998;1222:231-238.

COMMENTARY

No Blood, Please.

Liang BA. AHRQ WebM&M [serial online]. May 2004.