AHRQ Patient Safety Network

The Collection > Pathology & Laboratory Medicine

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Safety Target

•Diagnostic Errors (44)

•Identification Errors (28)

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

•Medication Safety (12)

•Medical Complications (2)

•Surgical Complications (5)

•Transfusion Complications (8)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (3)

•Europe (7)

•North America (101)

Resource Types

•Book/Report (3)

•Journal Article (101)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (7)

•Special or Theme Issue (2)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (27)

•Latent Errors (9)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (38)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (47)

•Communication Improvement (20)

•Human Factors Engineering (13)

•Specialization of Care (3)

•Logistical Approaches (33)

•Culture of Safety (3)

•Technologic Approaches (24)

•Education and Training (12)

Clinical Areas
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Pathology & Laboratory Medicine

Target Audience

•Health Care Providers (90)

•Health Care Executives and Administrators (74)

•Non-Health Care Professionals (20)

•Patients (6)

Setting of Care

•Hospitals (30)

•Ambulatory Care (11)

•Outpatient Surgery (1)

1 - 20 of 120

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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

Finding blunders in thyroid testing: experience in newborns.

Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.

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

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Am J Clin Pathol. 2003;120:18-26.

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.

STUDY

Failure to notify reportable test results: significance in medical malpractice.

Gale BD, Bissett-Siegel DP, Davidson SJ, Juran DC. J Am Coll Radiol. 2011;8:776-779.

BOOK/REPORT

Why Current Breast Pathology Practices Must Be Evaluated.

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

STUDY

Overestimation of clinical diagnostic performance caused by low necropsy rates.

Shojania KG, Burton EC, McDonald KM, Goldman L. Qual Saf Health Care. 2005;14:408-413.

STUDY

Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.

Raab SS, Nakhleh RE, Ruby SG. Arch Pathol Lab Med. 2005;129:459-466.

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.

REVIEW

Patient safety and error reduction in surgical pathology.

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

STUDY

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

Raab SS, Grzybicki DM, Janosky JE, et al. Cancer. 2005;104:2205-2213.

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.

STUDY

Errors in a stat laboratory: changes in type and frequency since 1996.

Carraro P, Plebani M. Clin Chem. 2007;53:1338-42.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

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.

STUDY

Rate of occult specimen provenance complications in routine clinical practice.

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

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.

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.

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