AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (51)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (44)

•Medication Safety (13)

•Medical Complications (3)

•Surgical Complications (5)

•Transfusion Complications (10)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (3)

•Central and South America (1)

•Europe (14)

•North America (110)

Resource Types

•Book/Report (4)

•Journal Article (113)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (7)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (32)

•Latent Errors (15)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (42)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (46)

•Communication Improvement (28)

•Human Factors Engineering (15)

•Teamwork (1)

•Specialization of Care (3)

•Logistical Approaches (37)

•Culture of Safety (4)

•Technologic Approaches (29)

•Education and Training (14)

Clinical Areas
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Pathology & Laboratory Medicine

Target Audience

•Health Care Providers (101)

•Health Care Executives and Administrators (84)

•Non-Health Care Professionals (26)

•Patients (6)

Setting of Care

•Hospitals (36)

•Ambulatory Care (15)

•Outpatient Surgery (1)

1 - 20 of 134

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REVIEW

Patient safety and error reduction in surgical pathology.

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

STUDY

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.

Snydman LK, Harubin B, Kumar S, Chen J, Lopez RE, Salem DN. Am J Med Qual. 2012;27:147-153.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

STUDY

Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors.

Wagar EA, Tamashiro L, Yasin B, Hilborne L, Bruckner DA. Arch Pathol Lab Med. 2006;130:1662-1668.

STUDY

The value of inking breast cores to reduce specimen mix-up.

Renshaw AA, Kish R, Gould EW. Am J Clin Pathol. February 2007;127:1-2.

STUDY

Rate of occult specimen provenance complications in routine clinical practice.

Pfeifer JD, Liu J. Am J Clin Pathol. 2013;139:93-100.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

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.

STUDY

Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety.

Kim JK, Dotson B, Thomas S, Nelson KC. J Am Acad Dermatol. 2013;68:53-56.

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

Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.

Valenstein PN, Raab SS, Walsh MK. Arch Pathol Lab Med. 2006;130:1106-1113.

STUDY

Clinical impact associated with corrected results in clinical microbiology testing.

Yuan S, Astion ML, Schapiro J, Limaye AP. J Clin Microbiol. 2005;43:2188-2193.

REVIEW

The safety implications of missed test results for hospitalised patients: a systematic review.

Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.

NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

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

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.

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

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.

TOOLKIT

Communicating Critical Test Results.

Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.

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.

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