AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (48)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (38)

•Medication Safety (10)

•Medical Complications (3)

•Surgical Complications (5)

•Transfusion Complications (9)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

•Central and South America (2)

•Europe (10)

•North America (104)

Resource Types

•Book/Report (3)

•Journal Article (102)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (6)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (29)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (38)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (42)

•Communication Improvement (20)

•Human Factors Engineering (15)

•Specialization of Care (3)

•Logistical Approaches (35)

•Culture of Safety (3)

•Technologic Approaches (26)

•Education and Training (13)

Clinical Areas
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Pathology & Laboratory Medicine

Target Audience

•Health Care Providers (93)

•Health Care Executives and Administrators (79)

•Non-Health Care Professionals (21)

•Patients (5)

Setting of Care

•Hospitals (27)

•Ambulatory Care (13)

•Outpatient Surgery (1)

1 - 20 of 121

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STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

STUDY

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

Raab SS, Meier FA, Zarbo RJ, et al. J Clin Oncol. 2006;24:2808-2814.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

MULTI-USE WEBSITE

The Final Check: Say it Out Loud.

Plano, TX: Outcome Engenuity; July 2012.

NEWSPAPER/MAGAZINE ARTICLE

Prone to error: earliest steps to find cancer.

Saul S. New York Times. July 19, 2010;A1.

COMMENTARY

Putting power into patient safety interventions. Part two: 99% is not good enough.

Astion M. Laboratory Errors & Patient Safety. July-August 2005;2:1-4.

BOOK/REPORT

Why Current Breast Pathology Practices Must Be Evaluated.

Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.

BOOK/REPORT

Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened.

Washington, DC: United States Government Accountability Office; June 2006. Publication GAO-06-416.

STUDY

Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology.

Renshaw AA, Gould EW. Am J Clin Pathol. 2006;125:820-822.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

COMMENTARY classic

Errors in laboratory medicine: practical lessons to improve patient safety.

Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

REVIEW

Patient safety and error reduction in surgical pathology.

Nakhleh RE. Arch Pathol Lab Med. 2008;132:181-185.

NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

Weiss GG. Med Econ. May 19, 2006; 83:47-49.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

COMMENTARY

Should patients get direct access to their laboratory test results?: An answer with many questions.

Davis Giardina T, Singh H. JAMA. 2011;306:2502-2503.

STUDY

Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences.

Dintzis SM, Stetsenko GY, Sitlani CM, Gronowski AM, Astion ML, Gallagher TH. Am J Clin Pathol. 2011;135:760-765.

REVIEW

Identifying cross contaminants and specimen mix-ups in surgical pathology.

Hunt JL. Adv Anat Pathol. 2008;15:211-217.

BOOK/REPORT

Getting Results: Reliably Communicating and Acting on Critical Test Results.

Schiff G, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2006. ISBN: 1599400014.

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